FIELD: medicine.
SUBSTANCE: invention refers to medicine, particularly to abdominal surgery. Colon stump is formed by crossing the colon in an oblique crosswise direction at angle of 50–60° to its mesenteric edge. Segment of the small intestine in the area of anastomosis is also transected in an oblique cross direction at angle of 50–60° to the mesenteric edge of the small intestine. An anti-mesenteric part of the colon wall is used to carve an oval pad with an area corresponding to a small intestine cross-section area. An ileocolic anastomosis is formed as "end-to-side" by means of a single-row continuous intestinal suture. Intersection of the small and large intestines in the oblique cross direction at angle of 50–60° providing anastomosis suture and stump suction of blood from the largest number of branches of intramural vessels.
EFFECT: method provides higher probability of anastomosis and survival of patient, as improves blood supply and reparative potential of anastomosis due to the fact that at excision of "window" for anastomosis region of colonic wall with worst blood supply is removed.
1 cl, 5 dwg, 1 ex
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Authors
Dates
2019-12-17—Published
2019-01-10—Filed