Method for carrying out plastic repair of the esophagus |
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IPC classes for russian patent Method for carrying out plastic repair of the esophagus (RU 2243726):
  
 Method for treating the cases of destructive pancreaticonecrosis aggravated with retroperitoneal space infection / 2243725
Method involves applying one or two parallel through draining tubes having lateral perforations. Flow lavage of the retroperitoneal space with antiseptic solutions is carried out via the perforations at room temperature and cooled solutions are administered concurrently with vacuum suction. Omental bursa is concurrently drained using the two parallel through draining tubes. Flow lavage of the omental bursa is carried out using these tubes.
 The method of determining the position of the needle tip in biological tissues and device for its implementation / 2243002
The invention relates to medical technology, and is intended to identify the location of the needle tip in biological tissues, for example when performing epidural anesthesia
The method of treatment of lung cancer / 2242998
The invention relates to medicine, in particular to cancer, and can be used in the treatment of resectable, including locally common forms of lung cancer
 The way plastics anterior cruciate ligament of the knee joint / 2242946
The invention relates to medicine, namely to traumatology and is used to repair a damaged cruciate ligaments of the knee joint
 A method of surgical treatment of a fracture of the patella / 2242945
The invention relates to medicine, namely to traumatology
 A method of treating unconsolidated postoperative sagittal cut of the sternum / 2242944
The invention relates to medicine, namely to traumatology, surgery
 The method of osteosynthesis of bones tibia in domestic animals / 2242943
The invention relates to medicine, namely to veterinary medicine, and can be used for osteosynthesis of bones tibia in cats and small dogs
The method of osteosynthesis of bones tibia in domestic animals / 2242943
The invention relates to medicine, namely to veterinary medicine, and can be used for osteosynthesis of bones tibia in cats and small dogs
A method of surgical treatment of genital prolapse / 2242942
The invention relates to medicine, gynecology
 Epidural needle / 2242941
The invention relates to medical equipment and can be used in anesthesiology and critical care medicine, in particular for epidural anesthesia
Method for treating the cases of destructive pancreaticonecrosis aggravated with retroperitoneal space infection / 2243725
Method involves applying one or two parallel through draining tubes having lateral perforations. Flow lavage of the retroperitoneal space with antiseptic solutions is carried out via the perforations at room temperature and cooled solutions are administered concurrently with vacuum suction. Omental bursa is concurrently drained using the two parallel through draining tubes. Flow lavage of the omental bursa is carried out using these tubes.
 Method for carrying out plastic repair of the esophagus / 2243726
Method involves carrying out left-side laparophrenotomy. Esophagus and stomach stump extirpation is carried out. Large intestine is conducted in the posterior mediastinum. Distal end-to-end anastomosis of transplant and the duodenum is created using atraumatic sutures.
 Method for preventing cicatricial commissure process development in epidural space after having removed intervertebral disk hernia at the lumbar level / 2243727
Method involves carrying out hernia removal in intralaminar way. Posterior longitudinal ligament defect is covered with Tacho-Comb plate after having done disk cavity curettage. Subcutaneous fat fragment on feeding pedicle is brought to dorsal surface of radix and dural sac.
 Device (protector) for preventing, stopping and controlling hemorrhages in performing laparotomic operations / 2243728
Device has thread knitted into fabric. Fabric for tamponing wound and removing it by pulling the thread is connected to internal film surface with collagen gel. The film overlaps fabric area and has opening equal to two-lumen draining tube canal connected to external film surface and having one canal longer than the other one. Distal end of the shorter canal is connected to opening in the film and distal end of the longer one is brought outside of its boundary. Proximal ends are connectable to vacuum receiver. Fabric thread is brought to the shorter canal from the internal wall and fixed on the external shorter canal wall.
Method for treating the cases of male enuresis / 2243729
Method involves applying sling urethropexy. Pneumoextraperitoneum is created by means of trocar introduced under the pubis. Then, longitudinal perineotomy and paraurethral tissue dissection is carried out to the right and to the left towards the descending branches of pubic bones to pelvic fascia. The urethra is moved to its left. TVT needle is introduced under descending branch of pubic bone to the right of the urethra. The pelvic fascia is perforated in away that needle tip enters retropubic space laterally with respect to the prostate and in front of the urinary bladder. The needle is brought along the posterior pubic bone surface and exits via abdominal wall outside pulling one end of polypropylene ribbon. The like manipulations are accomplished at the left side to form a loop around the urethra tightly adjacent to bulbocavernous muscles. Final ribbon fixation is carried out after having eliminated the pneumoextraperitoneum and having removed the trocar.
 Method for treating duodenum stump / 2243730
Method involves evaginating duodenum stump with polypotomy loop into organ wall followed by electric surgical excision.
Method for carrying out biliary tracts reconstruction / 2243731
Method involves carrying out rein performing pancreaticoduodenal resection. Cholecystoenteroanastomosis is built. Anastomosis application takes place between the right hepatic duct and gallbladder neck near its flexure.
Method for capsular pancreatic decompression / 2243732
One should perform incisions of parietal peritoneum by leaving 2 cm against inferior and superior edges of patient's pancreas being of 1.5 cm length to apply them in checkered order for the purpose to prevent vascular lesion.
 Method for correcting combined deformations of external nose due to oral-vestibular operative access / 2243733
The method is applied for the purpose to correct combined deformations of external nose due to oral-vestibular operative access. The method deals with dissecting mucosal membrane and periosteum in oral vestibule followed by separating soft tissues of the upper lip. Then one should perform internal incision along the edge of alar cartilages to connect two incisions together. Then comes final tissue separation at subsequent correction of the shape, size of external nose structures and its septum. The method enables to achieve wide access to all the structures of external nose and provide optimal cosmetic result.
 Method for correcting rotating penile deformation / 2243734
The present innovation deals with affecting the sclera and applying deformation-correcting sutures at the background of medicinal erection. Along lateral surfaces of cavernous bodies symmetrically from both sides one should make incisions of scleral surface layer. Then comes manual derotation, moreover, at the side of derotation incision's lower edge should be shifted downwards and backwards, its upper edge - upwards and to the front, and at contralateral side the lower edge is shifted downwards and to the front, and the upper edge - upwards and backwards. After manual penile derotation one should apply sutures onto the edges of dissected scleral layer in incision area by shifting needle's puncture out towards the side being opposite to shift direction of the lower edge against incision's perpendicular axis. The quantity of incisions should be calculated by the following formula: Q = N/n, where Q - the desired quantity of incisions, N - the angle of total initial rotation, n - the angle of derotation achieved after applying sutures onto the first pair of incisions. The method enables to decrease the risk for development of either new or residual penile deformation in postoperational period.
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FIELD: medicine. SUBSTANCE: method involves carrying out left-side laparophrenotomy. Esophagus and stomach stump extirpation is carried out. Large intestine is conducted in the posterior mediastinum. Distal end-to-end anastomosis of transplant and the duodenum is created using atraumatic sutures. EFFECT: enhanced effectiveness of plastic repair in the cases of resected stomach cancer. 1 dwg
The invention relates to medicine, namely to surgery The known method plastics esophagus lower third with proximal gastrectomy, including access to the stomach and lower thirds of the esophagus through the left laboratorycreative followed by resection of the lower third of the esophagus and stomach (Atlas of Oncology operations, edited by Beilenson, Vigesaa, Aeacea. Moscow, 1987, page 279) However, when this method is used only for the purpose of resection of the lower third of the esophagus Izlude and eksterpatsii stomach. Closest to the proposed method simultaneously eksterpatsii esophagus and plastics his colon using zadnelateralnuu ways of holding the graft in place of the esophagus, leaving the stump of the operated stomach (esophagoplasty. - Afernoon, Woundring, Ski, Sagarai. Analy, scientific center of surgery, Moscow, 1993, Issue 2). However, this method plastic surgery of the esophagus is impossible in cancer rezitsirovannogo stomach and lower thirds of the esophagus. The technical result of the invention is plastic esophagus colon in cases where other options are plastic esophageal impossible, and improving the quality of life of cancer patients. The technical result is achieved by the fact that access to the esophagus and the stump of the stomach, bearing a tumor, through the left laboratorycreative, outstanding gastro-esophageal junction, bearing a tumor, highlighted the stump of the stomach and the esophagus to the upper aperture of the thorax, through an incision on the inner edge of the left sternocleidomastoid muscle is allocated cervical esophagus, mobilized suitable for the plastics division of the colon, is extirpate of the esophagus and the stomach stump, colonic graft is performed in the posterior mediastinum and laid in the bed of the remote esophagus, the proximal end of the graft is connected with the stump of the esophagus by the method of hand joint, the distal end of the graft is connected with the stubs of the duodenum (DICK) by the method of "end-to-end double-row manual the atraumatic suture thread. The left pleural cavity, mediastinum, abdominal cavity is drained silicone drains, wounds of the diaphragm, thorax and anterior abdominal wall is sutured tightly. The technical result is achieved by the fact that access to the esophagus and the stump of the stomach, bearing a tumor, through the left laboratorycreative (see drawing) is allocated to the gastroesophageal junction, bearing a tumor, 1 are allocated to the stump of the stomach and the esophagus to the upper aperture of the thorax, through an incision on the inner edge of the left sternocleidomastoid muscle stands out is any the esophagus, mobilized suitable for the plastics division of the colon, is extirpate esophagus 2 and gastric stump 3, colonic graft is performed in the posterior mediastinum and laid in the bed of the remote esophagus, the proximal end of the graft is connected with the stump of the esophagus method manual seam 4, the distal end of the graft is connected with the stubs of the duodenum (duodenum) by the method of "end to end" manual double-row suture atraumatic thread 5. The left pleural cavity, mediastinum, abdominal cavity is drained silicone drains, wounds of the diaphragm, thorax and anterior abdominal wall is sutured tightly. Example. Patient B., born in 1936 was admitted with a diagnosis of cancer N/3 of the esophagus, the relapse, the state after proximal gastrectomy (2000). Was hospitalized with 11.09.01 on 1.11.01. Patient 22.9.01 transaction: angle cut with the transition to the chest on the seventh Mirabello layers penetrated the abdominal and pleural cavities were diaphragmlike, with the technical difficulties of adhesions selected infiltrate, which goes on the stump of the stomach and rising up the esophagus to the root of the lung. Uninstalled stump of the stomach and esophagus. Given the vascular architecture of the prepared graft from your colon and sigmoid colon on sudiste leg. The graft is moved into the mediastinum and placed on the neck in retroperitoneal position. Imposed anastomosis between the graft and the stump of the esophagus in the neck by a double seam atraumatic thread. The distal anastomosis between the graft and duodenum imposed “end to end” double row of hand stitching. The integrity of the colon restored by the imposition of colonic manual double anastomosis “end to end”. Aperture stitched capron, wounds of the abdominal and chest wall sutured tightly after installing drains in the abdominal and pleural cavity on the left. The patient is in satisfactory condition and was discharged for outpatient treatment, at discharge, no complaints, eat any food, dysphagia no. The use of the proposed method to produce plastic esophageal cancer resected stomach and to improve the quality of life of these patients. The way plastics esophagus, including access to the stump of the stomach and the esophagus through the left laparothorakoskopie followed by extirpation of the stomach stump and plasticity of the esophagus colon with holding her in the posterior mediastinum, characterized in that the extirpation of the esophagus is performed through the left laparothorakoskopie with its subsequent plasticity colon with the imposition of the distal anastomosis of the graft with dvenadtsatyi the Noah gut the end of the atraumatic sutures.
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