METHOD FOR SUTURING DUODENAL STUMP

FIELD: medicine. ^ SUBSTANCE: method involves transecting duodenum. Stump lumen is closed by suturing anterior and posterior walls. The first suture row is covered with the whole bulk of round ligament of liver by suturing all its tissues from right to left in transverse direction. Then, pancreas capsule is sutured with the same needle above the upper ulcer defect pole and seromuscular anterior stump wall as well. The second ligature is placed 2.5-3.0 cm below the first one suturing the round ligament of liver in the same way and pancreas capsule is sutured below the lower ulcer defect pole and seromuscular anterior stump wall as well. The ulcer defect being of large size, additional sero-serous sutures are placed between the ligatures after having tied them, to the left between peritoneal integument of the round ligament of liver and lateral ulcer boundary and to the right between peritoneal integument of the round ligament of liver and anterior stump wall. ^ EFFECT: simplified duodenal stump suturing method; reduced risk of traumatic complications; reduced operation duration. ^ 4 dwg