SU1748799A1 - Method for appendectomy - Google Patents

Abstract

Use: for the treatment of acute appendicitis. SUMMARY OF THE INVENTION: A pouch stitch is applied to the base of the vermiform process so that the needle is punctured and punctured at the same point as the tissue is grasped up to the submucosal layer, 2-3 mm distal to the purpura suture is dissected to the depth of the submucosal layer and peeled off serozoally muscle layer in the form of a clutch in the direction of the purge string, up to it. At the mucous-submucous layer at the level of the purse-string suture, a ligutar is placed and the process is removed, the stump is immersed in the wall of the cecum with tightening of the purge-string suture. The invention allows to reduce the size of the stump and the deformation of the caecum dome.

Description

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The invention relates to medicine, namely to surgery, and can be applied in the treatment of acute appendicitis.

There is a method of appendectomy, including the imposition of a purse-string suture, the imposition of ligatures on the base of the appendix, the immersion of the stump of the appendix in the purse-string.

The disadvantage of this method is the possibility of developing postoperative complications due to the formation of a large stump and deformation of the caecum dome.

The purpose of the invention is the prevention of postoperative complications by reducing the size of the stump and the deformation of the dome of the cecum.

The goal is achieved by the fact that in the method of appendectomy, which includes the imposition of a purse-string suture, the imposition of a ligature on the base of the appendix, the purse-string suture is placed on the base of the appendix, the intersection of the muscular layer of the appendix is conducted over the suture, the descent line, the line of the muscular layer of the appendix, is laid over the suture, the descent line, the line of the muscular layer of the appendix, is laid over the suture, the descent line, the line of the muscular layer of the appendix, is draped, and the line is draped. up to the level of the purse string suture, a ligature is placed on the mucous-submucous layer of the vermiform process at the level of the purge string

The method is carried out as follows.

After treatment of the mesentery, a purging stitch is placed on the base of the appendix so that the needle is punctured and injected at the same point as the tissue being caught up to the submucosal layer. Circularly worm-shaped process is dissected to the submucosal layer 2-3 mm distal to the subcutaneous suture. muscular layer in the form of a clutch

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the direction of the purse-string suture is flesh before it. Slightly sweeping the worm-shaped process, a ligature of thin catgut is placed on the mucous-submucous layer at the level of the purse-string suture and the process is crossed over the ligature. The incomplete stump of the vermiform process is treated with an antiseptic solution and immersed in the wall of the cecum with tightening of the purse-string suture.

The method was applied in 18 patients with various forms of acute appendicitis.

Claims (1)

Example. Patient B., 47 years old, arrives with a diagnosis of acute appendicitis and is operated on in an emergency order. During the operation, the vermiform process is about 100 cm long, the wall is thickened, the vessels are injected, and fibrin is present on the surface. A pouch stitch is placed on the base of the vermiform process, with a needle and a needle punctured at a single point to the depth of the submucosal layer. 2 mm distal to its submucosal layer, the sero-muscular layer intersects 2 mm distal to its submucosal layer, which, in the form of a clutch, is reduced proximally to the level of the purse string suture. Slightly pushing the vermiform process is tied up with a thin catgut submucosal-slisy layer of it at the level of the purse-string suture, after which the process over the ligature is crossed. The cult of the bone is treated with a solution of iodonate. The clutches of the sero-muscular layer are grabbed with tweezers and immersed in the wall of the cecum, followed by tying over the submerged stumps of the purse-string suture. The ends of the threads are cut off at the knot. The absence of folds and deformation on the surface of the dome of the cecum at the site of the operational reception is stated. The toilet of the abdominal cavity is made, stitches are put on the wound with aseptic dressing. Recovery. The result of the histological examination is phlegmonous appendicitis. Claims method of appedectomy, including the imposition of a purse-string suture, the imposition of ligatures on the base of the appendix, immersion of the stump of the appendix in the purse-string suture, characterized in that, in order to prevent postoperative complications by reducing the size of the stump and the deformation of the cephalic intestine, in order to prevent postoperative complications by reducing the size of the stump and the deformation of the cephalic intestine, the intestinal suture is attached. impose on the base of the appendix, the intersection of the sero-muscular layer of the appendix is made over the purse-string suture, the sero-muscular cuff is reduced to the level of pouch suture, impose a ligature on the mucous-submucosal layer of the vermiform process with clipping it at the level of the purse-string suture.