FIELD: medicine.
SUBSTANCE: surgical treatment of phrenospasm includes esophagocardiomyotomy, fundoplication cuff formation and fixation to the diaphragm. After esophagocardiomyotomy, the posterior wall of the stomach bottom is sutured 2-3 cm below the myotomy incision, the same thread is use to suture the posterior wall of the esophagus 3-5 mm above the the myotomy section. The sutured areas are brought to each other and a nodular suture is tied. The fundoplication cuff is fixed to the right and left side walls of the esophagus and in the region of the esophageal opening of the diaphragm using the same sutures. The cuff edges are stitched together by a nodal suture above the level of the esophageal-gastric junction, anterior to it without fixation to the esophagus wall.
EFFECT: reduced number of complications, prevention of development of long-term complications, reduced duration of inpatient treatment of phrenospasm of stage III-IV.
1 ex, 1 dwg
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Authors
Dates
2017-08-03—Published
2016-06-30—Filed