FORMATION OF BILIODIGESTIVE AND INTERINTESTINAL ANASTOMOSES IN ENVIRONMENT OF BILIARY PERITONITIS, USING A HIGH FREQUENCY ELECTRIC WELDING IN EXPERIMENT

• Published in: Klinična hìrurgìâ (Kiïv) no. 1; pp. 65 - 68
• Main Authors: Nychytaylo, M Yu, Furmanov, Yu O, Gutsulyak, A I, Savytska, I M, Lopatkina, K G, Zagriychuk, M S, Goman, A V
• Format: Journal Article
• Language: Ukrainian
• Published: Ukraine 01-01-2016
• Subjects: Anastomosis, Roux-en-Y - instrumentation; Anastomosis, Roux-en-Y - methods; Animals; Bile - chemistry; Bile Ducts - microbiology; Bile Ducts - pathology; Bile Ducts - surgery; Disease Models, Animal; Electrocoagulation - instrumentation; Electrocoagulation - methods; Escherichia coli - pathogenicity; Escherichia coli - physiology; Escherichia coli Infections - microbiology; Escherichia coli Infections - pathology; Escherichia coli Infections - surgery; Humans; Intestine, Small - microbiology; Intestine, Small - pathology; Intestine, Small - surgery; Peritonitis - microbiology; Peritonitis - pathology; Peritonitis - surgery; Rabbits; Suture Techniques - instrumentation; Sutures
• ISSN: 0023-2130

In experiment on 20 rabbits a diffuse biliary peritonitis was simulated, using intraabdominal injection of a laboratory culture of E. coli suspension and a medicinal bile. In 24 h on background of peritonitis on excluded loop of a small bowel in accordance to method of Roux, using a high frequency electric welding with the help of apparatus Patonmed EKB3-300 a one-layered everting cholecystoenteroanastomosis and enteroenteroanastomosis was formated. In a 6 mo postoperatively a connection line was not revealed from outside or from inside, the signs of stenosis were absent. In environment of a diffuse biliary peritonitis a welding technologies have permitted to form a hermetic and competent biliodigestive and interintestinal anastomoses, the processes of a welding suture regeneration postoperatively have a typical course. Using a high frequency-electric welding it is possible to perform a one-staged reconstructive interventions in environment of a pronounced inflammation of tissues due to subsequent precise conjunction of mucosal sheets of connected organs, preventing the anastomotic stricture formation.