DUODENOSTOMY TECHNIQUE APPLIED FOR DUODENAL STUMP DEHISCENCE FOLLOWING BILLROTH-II OPERATION

摘要

FIELD: medicine.;SUBSTANCE: foley catheter is re-laparotomically inserted through a suture line defect of the duodenal stump. The catheter cylinder is inflated until blocking the intestinal lumen completely. The defect is closed with a non-absorbable suture in a non-traumatic needle around the catheter. The suture is reinforced with a mobilised round ligament of the liver. The catheter is delivered outside through a separate incision. A dehiscence region is drained with laterally perforated tubes 10 mm in diameter. The method prevents the suture cutting out of the duodenal suture and the onset of peritonitis.;EFFECT: method enables forming the controlled duodenal anastomosis for preventing the duodenal suture dehiscence, when the reliable closure of the duodenal stump turns to be impossible.;1 ex, 1 dwg