METHOD FOR FORMING COLOSTOMA

medicine. SUBSTANCE: method involves sealing proximal loop with mechanical suture. Reservoir-holding mechanism is formed. Transplanted intestine loop is mobilized from mesenterium and appendages on the 20-25 mm long distance. Seromuscular layer is circularly separated 5-6 mm apart from the mechanical suture line. Seromuscular layer is separated on 14-16 mm long distance. Seromuscular layer is rolled as cuff. Transverse cuts of seromuscular layer tenia are spaced on the 9-10 cm long segment over the thin intestine cleared of appendages in chessboard order. Retroperitoneal pocket is built. Submucous membrane of the distal end of the pulled-out intestine is circumferentially attached above the muscular cuff to aponeurosis and skin. Internal opening peritoneum of the retroperitoneal canal is sutured in intestine circumference direction. Stoma lumen is opened. EFFECT: enhanced effectiveness in creating conditional reflex for evacuating from the stoma. 4 dwg