METHOD FOR FORMING CONTROLLED LAPAROSTOMY WITH CONTROLLED INTRA-ABDOMINAL PRESSURE Russian patent published in 2023 - IPC A61B17/03 A61B17/00 A61M27/00 A61B17/58 A61M25/01 

FIELD: medicine, abdominal surgery.

SUBSTANCE: skin and the medial edge of the rectus abdominis aponeurosis are pierced above and below the edges of the wound, at a distance of 1 to 3 cm from the midline. A conductor is inserted from the lower puncture along the medial edge of the sheath of the rectus abdominis muscle along the entire length of the wound to the upper puncture on the same side, along the conductor there is a medical tube installed from the upper puncture into the sheath of the rectus muscle. The ends of the tube are brought out through the upper and lower punctures on the skin. After passing the Kirschner wire through the medical tube, the shape of the Kirschner wire is modelled along the contour of the patient's abdominal wall, then all manipulations are repeated on the opposite side of the wound. The reduction of the edges of the wound under the control of intra-abdominal pressure is carried out for the edges of the spokes protruding above the skin with retaining elements. In the process of peritonitis regression, the edges of the wound are brought together between program sanitations by replacing the retaining elements on the spokes with the shorter ones. After the final sanitation, the abdominal cavity is sutured in layers with a ligature around the tubes, the tubes are removed after removing the skin sutures.

EFFECT: method allows to change the tension of the muscular-aponeurotic structures of the anterior abdominal wall without additional anaesthesia at any time with any change in intra-abdominal pressure and allows to constantly maintain intra-abdominal pressure in the therapeutic range, eliminates the need to repeatedly stitch the edges of the wound during program sanitation, reduces trauma to the edges of the wound and increases the margin plastic fabrics.

5 cl, 4 dwg, 2 ex