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[大肠手术中的精准缝合技术]

[Precision suture techniques in operations on the large intestine].

作者信息

Gusev V I

出版信息

Khirurgiia (Mosk). 1993 May(5):52-7.

PMID:8089988
Abstract

Experiments were conducted on 24 dogs to elaborate two variants of precision (microsurgical) double-row suture in operations on the large intestine. The suggested variants of the suture were successfully applied in operations on the large intestine in 48 patients. The first variant of a double-row sero-serous and musculo-intramucous suture is technically simpler and preferable in formation of end to side, side to side ileotransfercal anastomoses, and endo-to end anastomoses of the large intestine. The variant of sero-serous and musculo-intramucous suture with double stitching of the submucous coat on each side of the created anastomosis is preferable in complicated restorative-re constructive interventions. Both variants (the second to a greater measure) ensure sufficient strength and air-tightness of the formed anastomoses, exact approximation of the layers of the edges of the intestine, and quicker healing of the intestinal wound by first intention. The suggested sutures make it possible to decline the formation of preventive relieving colostomas and transanal draining of large intestinal anastomoses.

摘要

对24只狗进行了实验,以完善大肠手术中精密(显微外科)双排缝合的两种方法。所建议的缝合方法在48例大肠手术中成功应用。双排浆膜-浆膜和肌层-黏膜内缝合的第一种方法在技术上更简单,在端端、端侧回肠转位吻合术以及大肠端端吻合术中更可取。在复杂的修复重建手术中,在吻合口两侧对黏膜下层进行双重缝合的浆膜-浆膜和肌层-黏膜内缝合方法更可取。两种方法(第二种方法在更大程度上)都能确保形成的吻合口有足够的强度和气密性,使肠边缘各层精确对合,并使肠伤口一期愈合更快。所建议的缝合方法可以减少预防性减压结肠造口术的形成以及大肠吻合口的经肛门引流。

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