FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to colorectal surgery. Transanal access at the proximal and distal edge of the fistulous opening in the rectum impose two semi-purse-string sutures along the anterior semicircle. The semi-purse-string sutures are tightened on the rod of the circular stapler below its head, drawing the area of the rectum carrying the fistulous opening into the working part of the apparatus. The wall of the rectum is stitched with a circular stapler, excising a segment of the rectum with a fistulous opening and forming a two-row staple suture along the anterior semicircle of the rectum.
EFFECT: method allows to adequately resect the segment of the rectum, bearing the fistulous opening, forming a reliable two-row stapled suture, in anatomical areas inaccessible for adequate suturing of the rectal wall defect by hand; reduce surgical trauma; reduce the number of relapses of the disease and the number of postoperative complications.
1 cl, 1 ex
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