METHOD FOR SURGICAL TREATMENT OF DUODENAL OBSTRUCTION AND DUODENO-GASTRAL REFLUX WITH PRESERVATION OF PILORUS

摘要

The invention relates to medicine, namely to surgical gastroenterology, and can be used to treat diverticulums of the duodenum. The essence of the invention lies in the fact that during the operation, the fibrosed edges of the muscle folds formed in the muscle layer are found, then the extreme points of the diverticulum, proximal and distal, are highlighted in the longitudinal direction, corrugating sutures passing through the serous layer of artificial hypotension are applied, and the shape is illuminated, the dimensions, the mobility of the walls, the location of their gates and their sizes with subsequent surgical intervention, namely the application of several corrugated seams to the diverticulum, and the muscle-fibrous ring, the gates of the diverticulum are fixed and the threads of the corrugating seams are taken to the side, while the bottom and body of the diverticulum are acquired the appearance of the wavy layers, the subsequent seams are applied in the transverse direction with the inclusion of both edges of the serous-fibrous ring and passing through the undulating folds, while the seams are repeated at a distance of 0.5 cm from each other until the diverticulum is completely eliminated.