FIELD: medicine.
SUBSTANCE: invention relates to surgery and may be useful for suturing perforation of the wall of the duodenum. Perform excision of the serous wall of the duodenum in the transverse direction cranially and caudally from the perforation, bases of excised flaps are located at the perforated hole, the size of the base is equal to the diameter of the perforated hole, the tops of the flaps are located on the boundary of the perifocal shaft. First stitch of the suture is made at a distance of 0.5–1.0 cm orally and cranially from the perforated opening, the first injection being made in the transverse direction, on the filaments, the first knot-“fixer” is preformed, the second, third and fourth stitches border the perforating hole in the manner of the half-fifth stitch is parallel to the first and is located caudally and orally from the perforated opening, the thread is stretched to the contact of the opposite edges of the perforating hole and a second knot-“fixer” is formed.
EFFECT: method allows to increase the reliability of the suture.
1 cl, 4 dwg
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Authors
Dates
2018-05-24—Published
2017-06-28—Filed