METHOD OF SUTURING THE APONEUROSIS AFTER LAPAROTOMY Russian patent published in 2023 - IPC A61B17/04 A61B17/00 

FIELD: medicine; abdominal surgery.

SUBSTANCE: aponeurosis is sutured with two loop threads with an antibacterial coating. The first looped thread is used to apply a continuous suture from the lower corner to the middle of the laparotomic wound using the "small bytes" technology with the capture of the peritoneum and the muscular-aponeurotic layer. The aponeurosis is sutured with the second loop thread in a similar way from the upper edge of the laparotomy wound continuing below the node on the first thread by 3–4 cm. Then, the first thread continues to suture up the laparotomic wound. When suturing, the first injection is made lateral to the border of the white line and the sheath of the rectus abdominis muscle. The puncture is made at a distance of 1.5 cm from the puncture parallel to the white line of the abdomen. The next injection is made on the opposite side of the incision at the level of the previous injection, also retreating lateral to the border of the white line and the sheath of the rectus abdominis muscle. The needle is punctured at a distance of 1.5 cm from the puncture parallel to the white line of the abdomen. After suturing, the loop is cut at the needle, the thread with the needle is stitched to the opposite side of the wound, the threads are tied. The second thread is used to impose a similar seam from the center to the lower corner of the wound.

EFFECT: method reduces the risk of postoperative complications from the median laparotomic wound, in particular surgical site infection, by using modern surgical suture materials with an antimicrobial coating; reducing the load on the white line of the abdomen due to the muscular skeleton by flashing the sheaths of the rectus muscles; the possibility of revision of the laparotomic wound in case of its suppuration while maintaining the viability of the aponeurosis suture; ease of suturing.

1 cl, 3 ex