HYPOTENSIVE TECHNOLOGY IN THE RESECTION SURGERY OF THE STOMACH

Abstract

In the experiment on 36 dogs and in the clinic, 56 patients with gastric ulcer and duodenal ulcer stomach resection hypotrachyna applied technology (patent pending), consisting in the imposition of additional muco-submucosal or serous-muscular sutures 1-2 cm from the anastomosis, which occurs due to the convergence anastomosing departments, which reduces the load on the main seams of the anastomosis. In the experiment the efficacy of the developed technologies under conditions of significant tension (2,5-3,6 N - 245-350 g) of the stump of the stomach and duodenal stump. It is proved that the reduction of tension in the major joints along the line of the anastomosis contributes to a smaller disorders of the trophic tissue regenerating structures that are installed for increasing the redox potential, reduction in the intensity of lipid peroxidation and leading to phospholipase activity. In the clinic application hypotensive and overthrowing sutures in resection of the stomach allowed us to minimize postoperative complications. Failure of sutures gastroduodenal anastomosis was not. A marked decrease in the maintenance of anastomositis to 1.8%, postoperative pancreatitis to 3.6%.