FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to surgery. Ulcer is excised together with perforation section as follows. At 1.5 cm from the palpatory determined ulcer edge on the gastric wall in four opposite points, two of which are located on a line parallel to the longitudinal axis of the stomach, two – on a line perpendicular to its longitudinal axis, sutures-holders are laid, inside of which at 0.5 cm distance rhomboid incision of serous and muscular layers of stomach wall is performed. In the transverse direction to the longitudinal axis of the stomach, the mucosa is sutured with a stapling apparatus, followed by cutting off the mobilized segment. Seromuscular defect in the stomach wall is closed with serous-muscular sutures in the direction transverse to its longitudinal axis.
EFFECT: method enables improving the surgical management of the given gastric ulcer complication in the patients with high perioperative risk.
1 cl, 4 dwg
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