METHOD OF KIDNEY CLOSURE WITH U-SHAPED BLANKET SUTURE DURING RESECTION Russian patent published in 2024 - IPC A61B17/04 A61L15/28 

FIELD: medicine.

SUBSTANCE: invention relates to surgery, particularly to oncourology. Preliminary, the kidney is resected within the healthy tissues, the wound defect is closed as shown in Fig. 5. For this purpose, the needle with the suture is pricked in, stepping back from the edge of the wound surface by 0.4–0.6 cm with the capture of the renal capsule, renal parenchyma is stitched in direction of needle "towards itself" with needle pricked out through wound surface at distance of 2/3 of its width. Then the needle with the same end of the suture is used for the second prick through the opposite part of the wound surface with the parenchyma capture to depth of 0.4–0.6 cm and the second needle sticking out at distance of 2/3 of the width of the wound surface through the capsule, at 0.4–0.6 cm from the edge of the wound surface. Then, a longitudinal stitch of the seam is performed, for which, at distance of 1.5–1.7 cm from the second needle stitch, along the surface of the capsule at the level of the second prick-out, the third prick-in of the needle with the needle is made through the wound surface at distance of 2/3 of the width of the wound surface. Then, the fourth needle with a thread is pricked into the opposite part of the wound surface with a parenchyma capture to depth of 0.4–0.6 cm and needle sticking out at distance of 2/3 of the width of the wound surface through the capsule, retreating from the edge of the wound surface by 0.4–0.6 cm, thereby completing the formation of the suture. Then between two superimposed blanket stitches and wound surface "Surgicel" haemostatic mesh is laid, after which suture ends are tightened and tied together.

EFFECT: method is structurally simple, enables to achieve adequate hemostasis with minimal effect on renal parenchyma in order to reduce complications in the postoperative period.

1 cl, 7 dwg, 2 ex