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.