[Hermetic closure of liplike fistulas during laparoscopic gastrostomy and jejunostomy]

The author has elaborated the method of additional hermetical closing of labioid fistulas of the stomach and jejunum on the basis of creation of a fibrous ring in edges of an exterior fistular orifice. In case of impaired hermeticity this ring allows permanent bearing of a cannula and hermetic closure of the fistula again. Doubling of the methods of hermetical closure of fistulas provided an opportunity to facilitate the technic of their creation up to a simple bringing out of the visceral wall into the abdominal wall puncture. Thus, 26 fistulas were established in laparotomy, and 60 operations were performed without a wide exposure of the abdominal cavity, using laparoscopy.