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METHOD FOR TREATING ADHESIVE INTESTINAL OBSTRUCTION

机译:治疗粘连性肠梗阻的方法

摘要

FIELD: medicine, surgery. SUBSTANCE: in case of adhesive intestinal obstruction at development of adhesive conglomerate out of intestinal loops one should isolate small intestine out of adhesions at the distance of 100 cm. Between small intestine and colon at the level of tenia libera one should apply jejunotransversoanastomosis of "side-into-side" type. Moreover, small intestine is placed along the axis cross- sectionally against colon. In case of dilatation of intestinal loops it is necessary to cross small intestine at the distance of 12-15 cm against infiltrate. Distal end of small intestine is withdrawn onto anterior abdominal wall. At the absence of dilatation of intestinal loops operative interference is limited by applying jejunotransversoanastomosis without any crossing small intestine. EFFECT: decreased number of complications.
机译:领域:医学,外科。实质:万一粘连性肠梗阻在粘连性团块发展出肠loop的情况下,应将小肠从粘连处隔离开100厘米。在小肠和大肠肌腱水平之间的结肠之间,应应用“侧对侧”类型的空肠反吻合术。此外,小肠沿着横断面的轴线相对于结肠放置。在肠loop扩张的情况下,有必要将小肠横穿小肠,使其与渗透物相距12-15厘米。小肠远端末端撤至腹壁前壁。在没有肠loop扩张的情况下,通过施行空肠横肠吻合术可限制手术干扰,而无需横穿小肠。效果:减少并发症的数量。

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