Ten years of experience of the using intestine sutures on different level gastro-intestine tract

The designed and introduced into the clinic methods of the intestine seam on different level of the gastrointestinal tract, in base which lies the principles precisional technology, allowing ideal to adapt the layer sutured fabric belly and intestine. The experiments were run for 85 rabbits. It is studied mechanical other-ность precisional sutures when shaping gastrointestinal anastamosis (20 experiences), small intestine anastamosis - (25 experiences) and is made someone large intestine anastamosis (25 experiences). In checking series experience (15 rabbits) small intestine anastamosis were formed sutures Aliberta-SHmidena. The clinical study are organized beside 53 sick with different surgical diseases and high degree to probability of the origin postoperative complications. Designed by us methodses aplying under extraabdominal liquidation of kolostoms (7 sick) and cecostoms (4 sick). Inwardly abdominal operations (the resections of the belly, fine and large intestine, suturing wounds of the belly and small intestine) are made beside 42 sick. In the course of work use morphological, histological, bacteriological and physical methods of the study. The analysis given about mechanical toughness anastamosis has revealled the trace. At imposition gastroentero- and is made someone look large intestine anastamosis, formed precisional sutures during 1 day from begin experiments, mechanical toughness varies between 144±4.1 and 152±4.2 mm Hg. In checking group anastamosis sutures Alibert-Shmidens toughness was 168±4.3 mm Hg. However in all experience toughness anastamosis, regardless of methodses of the intestine seam is saved it is enough high, vastly exceeds the possible pressure in bright spot of the alimentary canal. At microscopically, anastamosis formed precisionally sutures, regardless of that, are assessed they on belly, fine or thick bowels, the general to show good their passability, nearly full absence infiltrates and inflammatory process over anastamosis at early periods after operation. Histologically, inflammatory reaction on suturing material was noted minimum. Threads polypropylene through 1-3 months after operation encircled fine connecting capsule. It is realized that offered methods of the intestine seam allow to obtain optimum healing an anastamosis, providing here with sufficient mechanical toughness and biological hermeticity of anastamosis. Postoperative period beside all sick run smoothly. The lethal upshot is not noted.

the precision seam, anastamosis, regeneration, mechanical toughness, biological hermeticity