METHOD FOR FORMING A CONSTRICTOR ANASTOMO SIS

A combined cuff suture was elaborated in the clinic for the formation of a functioning constrictor and prevention of suture incompetence in various anastomoses. The method of its application is discussed and th e results of its testing in gastroduodeno- and gastroejunostomy in ani mal experiments are shown. The cuff suture was used in the clinic in 1 29 patients, in operative management of obstruction of the hepaticocho ledochus and biliodigestive anastomoses in 77, in formation of constri ctor digestive anastomoses after resection of the stomach and gastrect omy in 42 patients, and in cystogastrostomy in one patient with favora ble functional outcomes. The functional condition of the stomach which was operated on and biliopancreatic system was studied by modern info rmative methods. The technique was also used in treatment of a duodenl stump after operations on the stomach in 27 patients and in closure o f defects and injuries of hollow organs of the digestive tract and in ileotransversostomy under conditions of peritonitis in 9 patients. Fat al outcomes in 5 patients who underwent operation and postoperative co mplications in 13 cases were not connected with the operative method.