METHOD OF ENDOSCOPIC TREATMENT OF ANASTOMOSIS SUTURE INCONSISTENCY

FIELD: medicine.SUBSTANCE: invention refers to medical equipment, namely to a method for endoscopic treatment of anastomotic suture inconsistency. Method includes a stage of collagen jaw installation in an anastomosis and driest cavity. Stage of the installation is carried out by installing a drain tube in an anterior abdominal wall, the inner end of which is located in close proximity to the zone of inconsistency of the sutures of the anastomosis and the driest cavity. Further, an endoscope is inserted through the drain tube into the abdominal cavity, followed by a tube for pumping out the liquid fractions with a liquid-permeable collagen sponge fixed on its end. End of the tube with a collagen sponge is placed under the endoscope visual control at the end into an anastomosis suture failure zone and a drip cavity. Further, the endoscope is removed from the drain tube. Method comprises the stage of therapy, in which the end of the sterile air supply tube is placed into the drain tube, the other end of the sterile air supply tube is connected to the gas compressor, and the end of the liquid fraction pumping tube, opposite the end on which the collagen sponge is placed, is connected to the vacuum pump. Then external end of drain tube is sealed. Vacuum pump is used to remove liquid fractions from zone of inconsistency of anastomosis sutures and drainage cavity via tube for pumping of liquid fractions with the help of collagen sponge. By means of gas compressor, by means of sterile air supply tube, excessive pressure is provided in abdominal cavity preventing penetration of liquid fractions into abdominal cavity and pressing collagen jaw to area of inconsistency of sutures of anastomosis and cavity of swelling.EFFECT: technical result is higher therapeutic effectiveness, simplified technology of therapeutic manipulations and reduced probability of traumatization of mucosa and gastrointestinal tissues.1 cl, 4 dwg Изобретение относится к медицинской технике, а именно к способу эндоскопического лечения несостоятельности швов анастомозов. Способ включает этап установки коллагеновой губки в зоне несостоятельности швов анастомоза и полости затека. Этап установки осуществляется путем установки в передней брюшной стенке дренажной трубки, внутренний конец которой располагают в непосредственной близости от зоны несостоятельности швов анастомоза и полости затека. Далее, по дренажной трубке, в брюшную полость вводят эндоскоп, а затем трубку откачки жидких фракций с закреп