title: [Hermetic closure of liplike fistulas during laparoscopic gastrostomy and jejunostomy].
abstract: 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.
mesh_terms: D004938:Esophageal Neoplasms / Q000601:surgery; D004940:Esophageal Stenosis / Q000601:surgery; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy; D011183:Postoperative Complications / Q000517:prevention & control; D011677:Punctures; D013270:Stomach / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery
vernacular_title: Germetizatsiia gubovidnykh svishcheĭ pri laparoskopicheskoĭ gastrostomii i eiunostomii