Galkin R A, Gusev V I, Kolinichenko O A
Department of Surgical Diseases, Medical Institute, Samara.
Khirurgiia (Mosk). 1997(8):37-9.
In experimental study (40 dogs) variant of precisional (microsurgical) suture and anastomosis was developed, which was successfully carried out in clinical practice in 72 patients with various diseases of gastro-intestinal tract. For precisional formation of gastro-intestinal and bowel anastomoses magnifying optics, atraumatic suturing material and microsurgical instruments were used. Separately were sutured by knot sutures gastric or bowel serosa (external layer) and musculosubcutaneos layer of these organs together with mucous membrane tangentially, without its penetrating puncture (internal layer). The developed precisional method of formation of the anastomoses promotes healing of gastro-intestinal wound by primary intention and may be recommended for wider practical application.
在实验研究（40只狗）中，开发了一种精确（显微外科）缝合和吻合术变体，并在72例患有各种胃肠道疾病的患者的临床实践中成功实施。为精确形成胃肠道和肠吻合术，使用了放大光学器件、无创伤缝合材料和显微外科器械。分别通过打结缝线将胃或肠浆膜（外层）以及这些器官的肌皮下层与黏膜一起切向缝合，不穿透黏膜（内层）。所开发的精确吻合术形成方法促进胃肠道伤口一期愈合，可推荐用于更广泛的实际应用。
