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

Abstract

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.

• Authors: M Yu Nychytaylo, Yu O Furmanov, A I Gutsulyak, I M Savytska, K G Lopatkina, M S Zagriychuk, A V Goman
• Journal: Klinichna khirurhiia (Klin Khir) Issue 1 Pg. 65-8 (Jan 2016) ISSN: 0023-2130 [Print] Ukraine
• PMID: 27249933 (Publication Type: Journal Article)

Topics

• Anastomosis, Roux-en-Y (instrumentation, methods)
• Animals
• Bile (chemistry)
• Bile Ducts (microbiology, pathology, surgery)
• Disease Models, Animal
• Electrocoagulation (instrumentation, methods)
• Escherichia coli (pathogenicity, physiology)
• Escherichia coli Infections (microbiology, pathology, surgery)
• Humans
• Intestine, Small (microbiology, pathology, surgery)
• Peritonitis (microbiology, pathology, surgery)
• Rabbits
• Suture Techniques (instrumentation)
• Sutures