[Method of constrictive anastomosis]

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 the results of its testing in gastroduodeno- and gastrojejunostomy in animal experiments are shown. The cuff suture was used in the clinic in 129 patients, in operative management of obstruction of the hepaticocholedochus and biliodigestive anastomoses in 77, in formation of constrictor digestive anastomoses after resection of the stomach and gastrectomy in 42 patients, and in cystogastrostomy in one patient with favorable functional outcomes. The functional condition of the stomach which was operated on and biliopancreatic system was studied by modern informative methods. The technique was also used in treatment of a duodenal stump after operations on the stomach in 27 patients and in closure of defects and injuries of hollow organs of the digestive tract and in ileotransversostomy under conditions of peritonitis in 9 patients. Fatal outcomes in 5 patients who underwent operation and postoperative complications in 13 cases were not connected with the operative method.