Clinical Experience of Frame Ring Utilization in Applying Interintestinal Anastomoses in Urgent Surgery

Abstract

The problem of restoration of intestinal integrity preserves its importance as the intestinal suture is a basis for digestive tract surgery. Tightness failure in the intestinal suture during gastrointestinal surgery is a threatening and, unfortunately, frequent complication, and it gets especial importance in emergency patients and those with severe concomitant pathologies. The research is carried out on utilization of a metal frame ring in applying interintestinal anastomoses. Clinical utilization of the method developed was preceded with a series of experiments on animals with morphological researches with the use of the device. Seventy operations were performed with utilization of a frame metal ring during application of interintestinal anastomoses. After performing an operation, intestinal peristalsis restored faster. In the postoperative period, all patients undertook study of abdominal exudates to determine for early diagnostics of development of intestinal suture failure. In clinical practice, utilization of a frame ring is indicated in applying primary interintestinal anastomoses in adverse conditions, namely, peritonitis and intestinal obstruction.