METHOD FOR OBSTRUCTIVE GASTRIC RESECTION IN THE PERFORATIVE GASTRODUODENAL ULCER UNDER CONDITIONS OF DISTRIBUTED PURULENT PERITONITIS Russian patent published in 2021 - IPC A61B17/00 A61B17/11 

FIELD: medicine.

SUBSTANCE: invention relates to medicine and namely to abdominal surgery. The operation is performed in two stages. The first stage presupposes that one should perform a midline laparotomy, draining, revision of the abdominal cavity, gastric resection in the volume of 2/3 with suturing of the gastric remnant and the duodenum with a double-row suture. A decompression probe is inserted into the gastric remnant through the nose. The abdominal cavity is washed with antiseptic solutions, loose fibrin overlays are removed. Drains are installed in the sloping places of the abdominal cavity. A laparostoma is formed, the edges of the wound are sutured with a diastasis of 3 cm. The second stage presupposes that one should perform a relaparotomy 48 hours after the initial intervention. After that the abdominal cavity is washed. Loose fibrin overlays are removed. The continuity of the digestive tract is restored with the help of a gastroenteroanastomosis. The wound is sutured.

EFFECT: invention reduces the number of postoperative complications such as failure of anastomotic sutures, undiagnosed early complications, development of compartment syndrome, the number of relaparotomies and reduces mortality in the postoperative period.

1 cl, 1 ex