FIELD: medicine.
SUBSTANCE: hemorrhoidal feet processing is performed during surgical treatment of complicated internal hemorrhoids. A Luer clamp is imposed on the hemorrhoid tissue and the node feet is sutured proximally by an 8-shaped catgut ligature. Billroth forceps is imposed on a half of the foot and the node is undercut above it. The main suture is imposed with a node formed proximally to the retaining suture. An additional suture is imposed by the first injection of needle under the main ligature and second injection directly next to the stump in the direction of perianal skin. Node tissue is cut off after the last suture is applied. The third suture node is formed over the main ligature.
EFFECT: reliable hemostasis during and after hemorrhoidectomy, reduced risk of postoperative submucosal hematomas and paraproctitis due to three 8-shaped stitches on the node foot during removal.
3 dwg
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