Dimitrov V, Dudunkov Z, Ralchev K, Kurtev P
Khirurgiia (Sofiia). 1990;43(2):82-6.
Once the stage of extraperitoneal evasion of the sigmoid has been achieved for definitive preternatural anus, transsection is made of the aponeurosis of m. obliqu. ext. abdominis along its tendon fibers at a length of 5-6 cm. Then an aperture is made along the muscle fibers with the same length on m. obliqu. int. abdominis and m. transversus abdominis as well and finally f. transversalis is transsected. The peritoneum is intra-abdominally detached from the fascia beneath and alongside the aperture. An "Ampoxen" layer is placed around the internal aperture of the abdominal wall. The explant is sutured to the fascia and the evaded sigmoid. The latter is sutured to the aponeurosis of m. obliqu. ext. abdominis. Another Ampoxen layer is placed over this aponeurosis and sutured to the evaded intestine and in a chess-board way to the fascia. The method was applied in 22 patients with very good postoperative result.
一旦实现乙状结肠经腹膜外造口形成永久性人工肛门，沿腹外斜肌腱纤维在5 - 6厘米长度处横断腹外斜肌腱膜。然后在腹内斜肌和腹横肌上沿肌纤维方向做相同长度的切口，最后横断腹横筋膜。将腹膜在腹腔内从切口下方和旁边的筋膜上分离。在腹壁内口周围放置一层“Ampoxen”。将移植物缝合到筋膜和脱出的乙状结肠上。后者缝合到腹外斜肌腱膜上。在该腱膜上再放置一层“Ampoxen”并缝合到脱出的肠管上，然后呈棋盘状缝合到筋膜上。该方法应用于22例患者，术后效果良好。
