Method of treating subcutaneous hematoma formed by animal bite
SUBSTANCE: invention refers to medicine, namely to surgery, and can be used at treating a subcutaneous hematoma formed by animal bite. That is ensured by antiseptic skin preparation, and surgical treatment of a wound if any. Then the hematoma is removed and measured through a puncture or a surgical incision. Thereafter, Perftoran is introduced in skin at 0.01-0.1 ml per 1 cm3 of the measured hematoma. Length of treatment makes three-seven days.
EFFECT: method provides higher quality of treatment of injured soft tissues and lower complications rate due to reduced oedema and improved tissue supply in a lesion ensured by the introduction of Perftoran.
The invention relates to medicine, namely to surgery, and is intended for treatment of subcutaneous hematoma formed due to animal bites.
With a sharp bite of a mammal, particularly powerful jaws, damage may occur without violating the integrity of the skin, but with bruises and razmozjenie soft tissue with hemorrhage and edema in them, and in the presence of bite wounds around her. It is noticed that the bitten wound may include signs, typical ragged, bruised and crushed wounds and often infected with pathogenic microflora contained in the saliva bite [Kollontai YOU, Panchenko, M.K., Andreson M.V. Open injuries of the hand. Kiev, "Health". 1983. - P.88]. Consider typical for bite wounds ruptured superficial tissues [Weinstein VG Guide traumatology. - L.: Medicine. 1979. - P.71. Postyshev VK General surgery: Textbook.- M: Medicine. 1993. - S]. Injuries are accompanied by objective symptoms: swelling caused by soaking the soft tissues of the streamed blood and lymph; inflammatory edema; sometimes redness and local temperature rise due to the expansion of blood vessels after a brief spasm reflex [Novozhilov D.A. Smirnov, N.V. IN kN.: "Multi-volume manual of Orthopaedics and traumatology". Volume 3. M. Medicine, 1968. C. 11-12]. Occur in damaged from the bite of tissues and subcutaneous hematoma, which can become infected in terms of bacterial contamination. Growing in the damaged tissues oedema with compression of the blood vessels, nerves sometimes, accompanied by malnutrition tissue, inflammation and other pathological phenomena with morphological changes. The conventional treatment of patients with bites mammals focused mainly on surgical treatment of wounds and the prevention of infectious complications. The treatment of soft-tissue damage around the bite wounds, and in the absence of wounds treatment of bruises, short squeeze and crush zone of soft tissues, subcutaneous hemorrhages, is not always given due attention, which prompted us to develop a treatment for patients with subcutaneous hematoma, formed as a result of animal bites.
There is a method of treatment for the bite caused mammal, including copious lavage bite wounds with soap and water, the treatment of the wound with 70% ethanol, and with extensive wound - overlay leading seams [instructions MZ the Russian Federation "On the procedure of work of medical institutions and centres for state sanitary and epidemiological surveillance for the prevention of human cases of rabies", approved by Order of RF Ministry of health No. 297. October 7, 1997, the who and].
The disadvantage of this method can be considered as the treatment of the wound with 70% ethanol, causing a sharp local pain and irritation of the tissues with the appropriate reaction. In this way, there are no actions aimed at improving the quality of treatment with subcutaneous hematoma, formed as a result of animal bites, and reducing the frequency of complications by reducing edema and improving the nutrition of tissue in the lesion.
There is a method of treating soft tissue injuries and bruises, including cold on the place of injury, elevation of the affected part of the body, a pressure bandage, rest, immobilization of the injured limb, with 2-3-day heat treatments, massage, physical therapy, and at large hematomas puncture with aspiration of blood [Bamaw. Surgical care in outpatient clinics. State publishing house of medical literature. M. 1963. S].
The disadvantage of this method is the lack of signs of improving quality of care in the subcutaneous hematoma formed due to animal bites, and reducing the frequency of complications by reducing edema and improving the nutrition of tissue in the lesion.
There is a method of treatment of wounds by subcutaneous parvularia introduction of perftoran in a volume of 10 ml (Loskutov HE Optimization of conditions for the healing of open fractures with parav larnage subcutaneous injection of perftoran. Abstract of thesis. CMN, Kemerovo, 2004, p.6-7).
The disadvantage of this method lies in the subcutaneous introduction of perftoran, which leads to accelerated resorption of funds and reduced the time of his local actions, in contrast to the intradermal injection of the drug in the proposed method with a more prolonged effect on damaged tissue. The disadvantage of the opposed way is also no signs of improving quality of care by reducing edema and improving the nutrition of the tissues around the subcutaneous hematoma, formed as a result of animal bites, and reducing the frequency of complications in it.
There is a method of treatment of wounds by subcutaneous parvularia introduction of perftoran within three to seven days, according to the patent of Russian Federation №2270004.
The disadvantage of this method lies in the subcutaneous introduction of perftoran, which leads to accelerated resorption of funds and reduced the time of his local actions, in contrast to the intradermal injection of the drug in the proposed method with a more prolonged effect on damaged tissue. The disadvantage of the opposed way is also no signs of improving quality of care by reducing edema and improving the nutrition of the tissues around the subcutaneous hematoma, formed as a result of animal bites, and reduce cha is toty complications.
There is a method of treatment for injuries from animal bites ["Managing bites from humans and other mammals. DTB 2004 42(9). Page 67-70], including the introduction of antibacterial drug, the choice of which is based on the data of bacteriological research. Before receiving his results, the drug of choice is amoxicillin/clavulanate (625 mg 3 times a day for adults). If you are allergic to penicillins may prescription metronidazole in combination with doxycycline for bites of dogs and cats. When it bites a person also can metronidazole be used in combination with erythromycin, but preferred is the use of ciprofloxacin in combination with clindamycin. The heavy nature of the infection, antibiotics are administered intravenously, the duration of therapy depends on clinical dynamics.
The disadvantage of this method of treatment for injuries from animal bites is the lack of signs of improving quality of care in the subcutaneous hematoma formed due to animal bites, and reducing the frequency of complications by reducing edema and improving the nutrition of tissue in the lesion.
The closest in technical essence and the achieved result is a method that is listed last, which we take as a prototype, and the drawbacks set forth above.
The technical result of the invention for luchetta in improving the quality of treatment with subcutaneous hematoma, generated as a result of animal bites, and reducing the frequency of complications by reducing edema and improving the nutrition of tissue in the lesion.
The technical result of the invention is achieved by a method for the treatment of subcutaneous hematoma formed due to animal bites, includes antiseptic skin preparation and surgical treatment in the presence of wounds. Moreover, the hematoma is first removed through the puncture or surgical incision with the determination of its volume, then the skin type perftoran the rate of 0.01-0.1 ml of 1 cm3the extracted volume of hematoma treatment within three to seven days.
The essence of the technical solutions is reflected in the specific examples of the method.
A specific example of the method. The man received a bite from a dog. For medical assistance with bitten ragged wound on the back surface of the left tibia with portions of the crush zone at the edges on the square 36 cm2and subcutaneous hematoma in the soft tissues of the damaged area. After using the toilet skin around the wound and wash it produced primary debridement with removal of blood clot without suturing. In the skin distal to the source of damage daily enter the perftoran in 7 ml for four days. Swelling decreased, signs of infection in the wound was not. In subsequent imposed in oricine seams. Healing without necrosis and other complications.
A second specific example of the method. Man three days ago I received from a horse bite left shoulder. Violations of the integrity of the skin there. The skin bruise with fluctuosa underneath the liquid. Estimated hematoma does not pulsate. After antiseptic treatment of skin and analgesia produced a thick hollow puncture needle was withdrawn about 100 cm3bloody fluid. Leather slept, fluctuation disappeared, the allocation of bloody fluid from the needle stopped, the needle is extracted. In intact skin distal to the source of damage is injected perftoran 10 ml for three days. Swelling decreased, signs of infection in the wound was not. Recovery without complications.
The significance of differences between the invented method is as follows.
Introduction distal to the damaged tissues in intact skin emulsion of perftoran in a dose of 0.1-0.2 ml per 1 cm2the surface areas of damage within three to seven days due to the fact that the perftoran - perfluorocarbon emulsion, improves tissue respiration and circulation, reduces swelling of the cells and perivascular edema vessels [Greceanu and others In kN.: "Performancesee compounds in biology and medicine". Pushchino. 1999. S]. Perftoran consider anti-ischemic drug. Incorporating structure of cell membranes, perftoran stabilizes the endothelium of blood vessels and cell membranes (Whichmakes and others In kN.: "Performancesee compounds in biology and medicine". Pushchino. 1999. S-145]. Eliminating the spasm of blood vessels, it restores microcirculation, reduces swelling of the endothelium of blood vessels, restores tissue gas exchange and metabolism (VMS, Nilow. In the book: "Performancesee compounds in biology and medicine". Pushchino. 1999. P.26-30]. Perftoran increases the viability of the tissues indirectly through normalization of microcirculation and metabolic processes in the cells. The introduction of perftoran reduces the severity of toxemia and has a favorable effect on the rheological properties of blood [Gastronom et al., 2001; RAO et al. Saint-Petersburg. 2001. P.21]. Perftoran reduces the amount of peroxide oxidation in the tissues, which leads to the resolution of vasospasm, the weakening of microcirculatory disorders and ischemic tissue [Haushalten and others In kN.: "Performancesee compounds in biology and medicine". Pushchino. 1999. P.67]. Therefore, a beneficial effect of perftoran on damaged tissue in the claimed method is caused, mainly, it lipoic, antiexudative analternative and detoxification effect. According to the claimed method summary of perftoran to hurt or crushed in the UCF is and tissues improves tissue respiration and circulation in damaged from the bite of tissue, relieve spasm of the vessels, weakening development of ischemic edema, reduction plasmopara and secondary circulatory hypoxia of tissues, improved metabolism and stabilization of the vascular endothelium and cell membranes, which reduces the severity of swelling and accelerate healing of the wound and restoration of damaged tissues. After removal of the subcutaneous hematoma through a puncture or surgical incision, in the presence of the injured tissue and the lack of extensive razmozjenie can without sacrificing efficiency to reduce the dose of perftoran to 0.01-0.1 ml of 1 cm3volume remote hematoma.
The invented method extends the choice of treatment of patients with subcutaneous hematoma, resulting from the bite caused mammal, reduces swelling and improves tissue nutrition in the lesion, which increases the quality of treatment, reduces the frequency of complications, shortens the treatment of patients and creates economic effect.
The application of the invention it is possible in traumatology, military field surgery, pediatric surgery, as well as in veterinary medicine.
A method of treating subcutaneous hematoma formed due to animal bites, including antiseptic skin preparation and surgical treatment in the presence of a wound, characterized in that the hematoma is first removed through the puncture or surgical incision is the determination of its amount, then in the skin of the injected perftoran the rate of 0.01-0.1 ml of 1 cm3the extracted volume of hematoma treatment within three to seven days.
SUBSTANCE: invention refers to medicine, and can be used for cryosurgery of an ingrown nail. That is ensured by cryodestruction by multiple deep application freezing of a pathologically changed nail fold with adhesion through a cotton soft layer. The layer is impregnated with a liquid with nanodisperse ferromagnetic particles in the magnetic filed focused with its vector axis to a pathological tissue. The ingrown and deformed parts of nail are removed. Freezing in this region and along a growth line at a healthy nail base from the pathological changes is carried out with a drop of atmospheric oxygen condensed on a cooled cryoinstrument. If observing a suppurative inflammation of the nail fold, it is dissected outside and along a line of a previous position of the ingrown nail inside the nail fold in a thawing phase with a surgical laser, a radio wave or common scalpel. Incision walls are treated with a drop of atmospheric oxygen condensed on the cooled cryoinstrument. Tumours or hyperplastic inflammatory changes of the nail fold requires additional cryodestruction with cryooxyimpregnation. For the first postoperative days, dressing procedures involve cryotreatment with a drop of atmospheric oxygen condensed on the cooled cryoinstrument by the nail fold incision lines and edge separation.
EFFECT: method allows to ensure complete destruction of pathologically changed tissues, to ease separation of a pathological part of nail when removed, elimination of an inflammatory centre, destruction of an accompanying productive inflammatory, papilloma-viral and tumour processes of the nail fold.
SUBSTANCE: invention refers to medicine, particularly to conservative purulent wounds healing. A technique implies that the wound is locally managed with electric pulse activated water containing metal oxide nanostructure dispersions. Water is prepared with using copper and silver electrodes, at copper density 30 % and silver density 70 %, current action 50 Hz and total discharge energy 10 J/l. The wound is managed and covered with water 1-2 times a day.
EFFECT: technique results in rapid relief of the pyoinflammatory process in the wound due to antimicrobial and regenerating effects, is not accompanied with by-effects.
SUBSTANCE: invention relates to medicine, namely, to surgery, and may be used for treatment of patients with localised pyoinflammatory diseases of abdominal cavity or retroperitoneal space. For this purpose, transcutaneous drainage of cavity of pyoinflammatory focus is carried out with subsequent evacuation of its content. Then fractional lavage of cavity is carried out, and solution of antiseptic is introduced in it in volume of up to 80% of volume of evacuated exudate. Drainage is closed and left as such for 12 hours. Afterwards drainage is opened, fractional lavage is carried out, and a solution of antiseptic is repeatedly introduced into cavity with subsequent closure of drainage for 12 hours up to the following sanitisation. Manipulations are repeated until complete reduction of ulcer.
EFFECT: method makes it possible to increase efficiency of treatment of pyoinflammatory cavities due to creation of "moderate intracavitary hypertension", preventing adhesion of cavity walls as a result of solution injection in it, and providing for maximum effect of this solution at cavity sections for a long period of time.
SUBSTANCE: invention belongs to medicine, notably to surgery and resuscitation, and can be used as intestinal distention preventing method in patients with widespread peritonitis. For this purpose on Th10-12-LI vertebrae level mixture of medications is injected subdermally. Mixture consists of 6 ml of 0.5% marcaine solution, 16 IE of lydasum, 0.5 ml of 0.05% proserin. Injection is made once a day for five days.
EFFECT: method allows preventing the intestinal distention by affecting the spinal cord nervous structures, which form abdominal and mesenteric plexus, promoting its metabolism and motility recovering.
SUBSTANCE: invention relates to medicine, namely to neurosurgery and orthopedics, and can be used in surgery on lumbar intervertebral disks. For this purpose degenerative pulpous nucleus is ablated. After that sanitation of operated intervertebral disc is carried out by irrigation of remaining in region of surgery free fragments and non-ablated part of degeneratively altered disk with chondrolytic enzyme.
EFFECT: method allows to prevent recurrence of pain syndrome resulting from re-compression of root of spinal cord due to ablation of all without exception fragments of altered intervertebral disk by means of enzyme.
1 dwg, 1 ex
SUBSTANCE: group of inventions relates to medicine and may be used to heal wound epithelium of various genesis. For this purpose an agent is introduced into wound, causing modulation of expression and/or activity of one isoform PKC and therapeutically effective amount of one additional facility selected from group that consists of insulin, growth factor, adipokin, PKC RACK and GW9662. According pharmaceutical compositions are proposed for introduction in wound, containing, apart from therapeutically effective amounts of necessary substances, a pharmaceutically acceptable carrier.
EFFECT: accelerated processes of epithelium wound healing by explicit synergetic action of specified substances.
60 cl, 43 dwg, 10 tbl, 27 ex
SUBSTANCE: invention refers to medicine, namely to surgery, and can be used for post-surgical treatment of the patients after an intestinal obstruction surgery. That is ensured by the diversional therapy. It is added with the intravenous drop-by-drop introduction of ozonised physiologic saline of ozone concentration 5mg/l in amount 200 ml for the first seven postoperative days once a day.
EFFECT: reduced time of enteroparesis relief with higher physiological value of the treatment and extended range of products for enteroparesis relief in such patients.
SUBSTANCE: invention refers to medicine, namely to surgery, and can be used for the early postoperative prevention of acute gastroduodenal ulcers in patients with colorectal cancer. That is ensured by the preoperative detection of Helicobacter pylori infection. Then for 5-7 preoperative days, amoxicillin in daily dose 2 g and clarithromycin in daily dose 1 g are administered orally.
EFFECT: method provides the prevention of acute gastroduodenal ulcers in the declared group of patients regardless the presence of pathological changes in the upper gastrointestinal mucosa.
SUBSTANCE: invention refers to medicine, namely to urology, and can be used for treating complicated purulent pyelonephritis. That is ensured by the surgical intervention and starting from the early postoperative period, bleach solution is administered intravenously and locally. The intravenous introduction of 0.004% bleach solution is carried out once a day at 10 ml of the solution per 1 kg of body weight. Additionally, 0.06% bleach solution is introduced locally intrarenally with a nephrostomic drainage every 12 o'clock in amount 50 ml in divided portions no more than 4 ml for one portion. The therapeutic course is 7 days.
EFFECT: method provides reduced duration of staying in hospital, reduced postoperative complications of septic nature and reduced duration of healing of postoperative wounds in the patients.
SUBSTANCE: invention relates to medicine, namely to vascular surgery and can be used in treatment of patients with varicose disease of lower extremities. For this purpose into proximal end of vein introduced is intravascular catheter with its further movement in the same direction as vein trunks to saphenofemoral fistula under constant ultrasonic control of its movement. After that through catheter introduced is phlebosclerosant, as such solution of ozone on the basis of 0.9-2.0% solution of sodium chloride with ozone concentration 10-25 mg per 1 l of sodium chloride solution. Additionally sclerotherapy of varicose tributaries is carried out by puncture introduction of said solution.
EFFECT: method allows to simplify procedure considerably with simultaneous reduction of trauma due to elimination of carrying out crossectomy and eliminate thromboembolic complications due to effect of concentrated ozone solution on blood rheology.
3 cl, 3 ex
SUBSTANCE: invention relates to medicine, namely to otolaryngology, and can be applied in complex treatment of post-traumatic injuries of larynx. For this purpose in treatment included is daily infusion into larynx of 1.0 ml of perfluorane during 3-5 days.
EFFECT: invention makes it possible to reduce terms and increase treatment efficiency due to anti-oxidant, cytoprotective and membrane-stabilising properties of pefluorane, in addition, gas-transport properties of perfluorane favour local influence on trophism of muscular tissues of vocal ligaments, which results in increase of voice resistance to loads.
FIELD: medicine, veterinary science.
SUBSTANCE: invention concerns veterinary. An antiparasitic contains the ingredients taken in the ratio, wt %: univerm - 0.5-1.0; fascocid - 2.0-4.0; filler - the rest. The method consists in feeding said agent to bovine animals in a single dose 2.5-5.0 g/kg of body weight. The combined administration of anthelmintic agents acting on helminths of various systematic groups, expands an action spectrum of the preparation and allows to reduce frequency rate of antiparasitic treatment.
EFFECT: optimum relation of the active materials and feed ingredients allows higher technological effectiveness of antiparasitic actions of profitability increased by 20-25 %.
2 cl, 7 tbl, 4 ex
FIELD: medicine, veterinary science.
SUBSTANCE: invention relates to the field of veterinary science, in particular to methods and agents for treatment of obstetric-gynaecological diseases in cows. Agent contains pefloxacin, metronidazole and chlorhexidine bigluconate, and the base is represented - water-soluble organosilicic derivative of glycerin, having transmucosal activity, composition of which complies with the formula (CH3)2Si(C3H7O3)2·C3H8O3, at the following ratio of components in the agent, wt %: pefloxacin 0.75-1.0; metronidazole 1.0-1.5; chlorhexidine bigluconate 0.05-0.1; water-soluble organosilicic compound - glycerin derivative - up to 100. According to proposed method, introduction of specified agent is carried out in process of complex therapy intrauterinely 3-5 times, with interval of 48 hours, in amount of 50-100 g per single introduction with the help of Janet's syringe and polystyrene pipette for artificial insemination, at the same time prior to introduction the agent is dissolved with sterile distilled water in the ratio of 1:1.
EFFECT: increased efficiency of endometritis treatment in cows.
2 cl, 8 tbl
SUBSTANCE: invention refers to medicine and represents a wound healing agent containing terrilytinum, sodium alginate and water characterised by the fact that in addition, it contains polyguanidine compound - poly-(4,9-dioxadodecanguanidine) chloride, or poly-(4,9-dioxadodecanguanidine) phosphate, or poly-(4,9-dioxadodecanguanidine) succinate, polydon, glycerin, hydroxyethylcellulose, and polyethylene glycol, with the components of the agent being in a certain relation, wt %.
EFFECT: invention provides higher stability of composition, better wound healing properties and accelerated course of a healing process.
1 ex, 2 tbl
SUBSTANCE: invention refers to medicine, namely to dentistry, and can be used for treating the destructive changes in the furcation area of molars after tooth floor perforation. That is ensured by preparation of a carious cavity, management and root canal filling for cause. Thereafter, the tooth floor is coated with the daily changed preparation Calasept Iodo in dosage 0.05-0.1 ml, for 2 days. It is combined with exposure to a semiconductor laser of wave length 0.9 mcm, pulse power 2 Wt, frequency 2000 Hz and pulse duration 40-100 ns. The exposure covers the tooth floor directly vertically and is performed daily within the course of 2-3 procedures. Thereafter, a preparation Osteoplast in dosage 0.05-0.1 g. The perforation is closed with the material "Pro Root".
EFFECT: invention allows for effective reduction of inflammation, elimination of bone tissue resorption within molar furcation, osteogenesis within the furcation area.
1 ex, 2 dwg
FIELD: medicine, pharmaceutics.
SUBSTANCE: declared invention refers to chemical-pharmaceutical industry, and concerns an emulsion of perfluororganic compounds (PFOC) for medicine and biology, containing mixed perfluorocarbons (PFC) with a main ingredient being perfluorodecahydronaphthalene (PFD) and mixed perfluorochemical tertiary amines (PFTA) with a main ingredient being perfluoro-N-(4-methylcyclohexyl)-piperidine (PFMCP), having smaller excretion rates than PFD, a stabilising agent and a physiologically acceptable water-salt solution with energy metabolism substrata, differing that all the ingredients of PFOS have critical hexane solution temperatures (TcrH), differing no more than by 2-4°C, and the stabilising agent represents mixed block copolymers from the group of block copolymers polyoxyethylene-polyoxypropylene with an average weight content of polyoxypropylene 20%. The invention also concerns a method for making said emulsion, and a method of treating with applying the declared emulsion.
EFFECT: prepared emulsions show high stability and are non-toxic.
21 cl, 5 tbl, 17 ex, 2 dwg
SUBSTANCE: invention refers to medicine, namely, to anaesthesiology and can be used as anaesthesia care of orthopaedic surgeries in children. That is ensured by an initial inhalation narcosis of Sevoflurane. It is followed with epidural cavity catheterisation and spinal anaesthesia by introduction of Marcain 0.5% isobaric. In 80 minutes after the beginning of spinal anaesthesia, bolus dosing of 0.2% Naropin 0.6 mg/kg in the epidural space follows. Continuous infusion of Naropin in the epidural space is maintained at 0.2-0.3 mg/kg/h during the surgical procedure.
EFFECT: method allows improving effectiveness of walking epidural in children, and preventing hemodynamic complications due to minimum pharmacological intervention of the patient's body ensured by low concentration of introduced Naropin.
SUBSTANCE: when it is necessary to carry out inhalation anesthesia regulation of inhaled concentration of anesthetic is carried out by means of low-resistance evaporator stabilised by consumption of gaseous mixture. Said evaporator is installed both outside respiration contour on line of fresh gas flow, and inside respiration contour, in this case directing part of gaseous mixture, equal to difference between minute ventilation and fresh gas flow, past evaporator through bypass. Gas flow through bypass is regulated proportionally to difference between current and set values of inhaled concentration. During induction or deepening of anesthesia upper limit of inhaled concentration is determined as product of set mark of evaporator scale and ratio of minute ventilation to fresh gas flow. Rule of determining inhaled concentration of anesthetic during induction and maintaining anesthesia is shown on panel of inhaled concentration control.
EFFECT: invention allows to ensure efficient control of anesthesia depth due to quick regulation of anesthetic concentration in inhaled mixture at any stages of inhalation anesthesia on semi-closed contour.
5 cl, 2 dwg
SUBSTANCE: invention refers to cosmetology and dermatology and represents a mesotherapy preparation characterised by that it contains an aqueous emulsion of perfluororganic compounds concentrated therein 5-95 vol %.
EFFECT: invention provides development of a new mesotherapeutic preparation with high efficiency when used in small dosage, and prolonged action.
2 cl, 4 tbl, 5 dwg
SUBSTANCE: invention refers to medicine, namely to surgery, and can be used for prevention of early postoperative thromboembolic complications in surgeries of pelvic organs. That is ensured by introduction of dissolved ozonised Perftoran in lateral pelvic fat prior to suturing up the incisional wound. In first three postoperative days, heparin is introduced in dose 1.5-2.0 thousand units twice a day in combination with intravenous drop-by-drop injection of Rheopolyglukin solution in a dose 7-8 ml per 1 kg of weight. For the 1st, 3rd, 5th postoperative days, Perftoran solution is introduced intravenously drop-by-drop in a dose 10-15 ml per 1 kg of weight.
EFFECT: higher preventive efficiency of early postoperative thromboembolic complications, three-time lower dosage of heparin.
SUBSTANCE: invention relates to surgery and can be applied for gastrostomy. An intraorgan descending branch of a first branch of a descending left gastric artery designated as the descending branch of the first branch, and an intraorgan superior branch of a second branch of the descending left gastric artery designated as the superior branch of the second branch are detected in a patient. Gastrostomy is executed along an anterior wall of a stomach between projections of the descending branch of the first branch and the superior branch of the second branch. A guide thread fixed to a guide string inserted orthograde before gastrostomy is used as a bougienage element. A gastrostomy canal is formed by a level-by-level purse-string suture on the anterior wall of stomach around a gastrostomy hole.
EFFECT: technique allows reducing intraoperative injuries, eliminating irreversible deformation of stomach.
2 cl, 2 ex, 2 tbl