METHOD OF CLOSING A LAPAROTOMY WOUND USING A MESH THREAD Russian patent published in 2020 - IPC A61B17/04 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to abdominal surgery, and can be used for laparotomy wound aponeurosis closure. Method involves suturing the abdominal white line with reinforcing sutures in places of maximum tension of its edges with subsequent application of a continuous suture. Polypropylene mesh endoprosthesis band with width of 12 mm and length of 15 cm is stretched to the maximum possible length until acquiring a cylindrical shape. Obtained mesh thread is fixed in an open eye of a cutting needle bent at 1/2 or 3/8 of a surgical needle with a diameter of not less than 1 mm. When the wound is sutured, the first prick of needle is 1cm from the line of the abdominal line of the abdominal line from the outside to the inside, and the needle is pricked out on the opposite side of the white abdominal line in oblique direction 1.5 cm from the wound edge and 1.5 cm relative to the prick-in level. Next prick-in of the needle is performed on the opposite side of the white abdominal line at 1.5 cm from the edge of the latter and at the same level as the first needle prick-out, and the prick-out is performed on the opposite side of the white abdominal line in oblique direction 1 cm from the edge of the wound on first prick-in level. After the reinforcement suture is applied, the free ends of the mesh threads are knotted by two knots. Superfluous ends are cut off in 2–3 mm from the second unit and are pierced with prolen suture 2-0.

EFFECT: method provides reinforcement of laparotomy areas of belly white line with maximum tension, high strength of aponeurosis suture due to extensive contact of thread from mesh endoprosthesis.

1 cl, 3 dwg, 2 ex