If, as a result of hormonal disorders in a woman, fluid accumulates under the outer membranes of the ovary - a cyst develops, or malignant cells are found in it, the attending gynecologist will recommend removing the pathological site.

An operative path of treatment can also be chosen for polycystic ovary syndrome, if it is necessary to preserve the patient's childbearing function. In all these cases, gynecologists say that a resection of the ovarian tissue is needed.

What is an ovarian resection?

This is a surgical intervention in which only the damaged area is removed (excised) in one or both organs, and healthy tissues remain intact. Such an operation does not involve the complete removal of these reproductive glands, so in most cases the woman's ability to conceive is preserved. Moreover, sometimes an ovarian resection is performed in order to increase the chances of pregnancy.

Intervention is performed according to strict necessity and only after a comprehensive examination of the woman - in order to minimize the risk of postoperative complications. If you want to become pregnant after surgery, therapy may be prescribed that encourages the female gonads to increase the production of eggs.

Types of surgery and indications for it

There are three main types of ovarian surgery:

1. partial resection.
2. wedge resection.
3. Oophorectomy.

Partial resection of the ovary

This is the cutting off of a part of an organ. It is used to treat diseases such as:

• a single ovarian cyst, when it reaches a significant size and does not respond to ongoing conservative treatments;
• hemorrhage in the ovarian tissue;
• severe inflammation of the organ, especially when it has been impregnated with pus;
• confirmed by a preliminary biopsy (puncture and removal of part of the unhealthy tissue) benign ovarian tumor, for example,;
• trauma to the organ, including during a previous operation, for example, on the intestines or urinary tract;
• rupture of an ovarian cyst with bleeding into the abdominal cavity;
• torsion of the legs of the ovarian cyst, which is accompanied by severe pain;
• ectopic ovarian pregnancy, when the embryo develops on top of the organ.

Wedge resection

They can go to oophorectomy with the initial planning of a partial resection of the ovarian tissue - if during the operation it turned out that it was not, but a glandular pseudomucinous cystoma. In the latter case, in women after 40 years, both reproductive glands are generally removed - in order to avoid their cancerous degeneration.

Resection of both ovaries will be carried out with the development of cysts in both of them, especially with glandular pseudomucinous cystomas. If a papillary cystoma is found, which is dangerous for its high risk of cancerous degeneration, both ovaries are removed in women of any age.

Methods for performing ovarian resection

Ovarian resection can be performed by two methods: laparotomy and laparoscopic.

Laparotomy excision of the organ is performed through an incision of at least 5 cm long, performed with a scalpel. Resection is performed under direct visual control with conventional instruments: scalpel, clamp, tweezers.

Ovarian resection by laparoscopic method

Laparoscopic ovarian resection is performed as follows. In the lower part of the abdomen, 3-4 incisions are made, no more than 1.5 cm long. Tubes of medical steel - trocars - are inserted into them. Through one of them, a sterile gas (oxygen or carbon dioxide) is injected into the abdomen, which will move the organs away from each other. The camera will be inserted through the second hole. She will transfer the image to the screen, and gynecologists will be guided by it during the operation. Small instruments are inserted through other incisions, with which they perform the necessary actions. After carrying out the necessary actions, carbon dioxide is removed, the incisions are sutured.

Intervention preparation

Before the operation, you need to be carefully examined: take general clinical, biochemical blood tests, determine the presence of antibodies to viruses in it, which can reduce blood clotting (hepatitis B and C) or lower immune defense (HIV). We also need a cardiogram and a fluorogram.

Both laparotomy and laparoscopic interventions are performed under general anesthesia, in which all muscles relax, including those between the stomach and esophagus. As a result, the contents of the stomach can be thrown into the esophagus, and from there into the respiratory tract, which can cause pneumonia. Therefore, before the operation, you need to stop eating, taking the last meal at 8 pm (not later), and liquids at 22:00.

In addition, you will need to clean the intestines: after all, surgical intervention will temporarily slow down intestinal motility, so the feces formed in it will be absorbed into the bloodstream, poisoning the body. To prevent this from happening, you need to perform cleansing enemas. They are made with cool water in the evening and in the morning the day before - to clean water.

How is the operation carried out?

The intervention is performed under general anesthesia, so after getting on the operating table and injecting drugs into a vein, the woman falls asleep and stops feeling anything.

Meanwhile, the operating gynecologist performs either one large (laparotomy) or several small (laparoscopic) incisions, and with the help of instruments the following is performed:

1. Release of the organ and its cysts (tumors) from adjacent organs and adhesions.
2. The imposition of clamps on the suspensory ligament of the ovary.
3. An incision in ovarian tissue that extends slightly higher than the diseased tissue.
4. Cauterization or suturing of bleeding vessels.
5. Sewing up the remaining gland with absorbable suture.
6. Inspection of the second ovary and pelvic organs.
7. Check for the presence of bleeding vessels, their final suturing.
8. Installation of drainage (drainages) in the cavity of the small pelvis.
9. Stitching the cut tissues through which the instrument was inserted.

The patient is warned that even with a planned laparoscopic intervention, in the case of either suspected cancer, or with extensive purulent inflammation or blood soaking, gynecologists can switch to laparotomy access. In this case, the life and health of the patient are prioritized over the faster recovery of her ovary after resection, which is noted during laparoscopic surgery.

Consequences and postoperative period

Carried out by minimally traumatic methods (laparoscopy), with the removal of the minimum amount of tissue possible, the operation usually goes smoothly. The consequences of ovarian resection can only be the onset of menopause soon after the operation - if a lot of tissue was removed from both organs, or an acceleration of its onset - since the tissue from which new eggs could appear has disappeared.

The second frequent consequence is adhesions between the intestines and the reproductive organs. This is the second reason why pregnancy may not occur after ovarian resection (the first is the removal of a large amount of ovarian tissue).

Complications may also develop. This is infection of the pelvic organs, hematomas, postoperative hernia, internal bleeding.

Pain after resection of the ovary begins after 5-6 hours, in connection with which the woman in the hospital is given an anesthetic injection. Such injections are performed for another 3-5 days, after which the pain should decrease. If the pain syndrome persists for more than a week, you need to notify the doctor about this - this indicates the development of complications (most likely adhesive disease).

The sutures are removed on the 7-10th day. Full recovery after surgery occurs in 4 weeks with laparoscopic intervention, in 6-8 with laparotomy.

After the operation, there is a discharge of blood from the vagina, which resembles menstruation. The intensity of secretions should decrease, and the duration of such a reaction of the body is about 3-5 days. Periods after ovarian resection rarely come on time. Their delay of 2-21 days is considered normal. A longer absence of menstruation requires a consultation with a doctor.

Ovulation after ovarian resection is usually observed after 2 weeks. This can be found out according to the measurement of basal temperature or according to the data (ultrasound). If the doctor has prescribed taking hormonal drugs after the operation, then it may not be at all this month, but you should ask the attending gynecologist about this.

Is it possible to get pregnant after ovarian resection?

If a large amount of ovarian tissue has not been removed, then it is possible. Even with polycystosis, this is possible, and even necessary, otherwise after 6-12 months the chance of getting pregnant will decrease, and after 5 years a relapse of the disease is possible.

Only in the first 4 weeks after the operation, sexual intercourse will need to be excluded for the normal healing of the operated tissue, and then, perhaps, hormonal contraceptives will need to be taken for another 1-2 months. In the same period, active attention should be paid to the prevention of adhesive disease: an active motor regime, physiotherapy, a diet rich in fiber.

If after 6-12 months pregnancy does not occur, you need to consult a doctor and exclude the option of tubal infertility.

Resection Resection (excisio ossium) is a surgical operation to remove part of one or more bones, while preserving the covers and adjacent soft parts as much as possible. Many types of R. have their own special names: trepanation, sequestrotomy. Sometimes, with R., a part of the part is completely removed in its entire thickness (R. throughout); unlike the latter, R. is also distinguished at the ends of the bones, when one or all articular ends are removed. R. is most often applied to the extremities, and the operation is performed subject to the strictest antiseptics, the patient is previously anesthetized with chloroform or ether; when cut, the soft parts are protected as much as possible from damage and injury; the bone is exposed, even freed from the periosteum, and the intended pieces are removed. After that, the operated limb is given the desired position and appropriate dressings are applied. With the correct operation, R. not only allows you to save the limb, its functional ability, to a greater and lesser extent, but also gives less mortality than amputations. G. M. G.

Encyclopedia of Brockhaus and Efron. - St. Petersburg: Brockhaus-Efron. 1890-1907 .

Synonyms:

See what "Resection" is in other dictionaries:

- (lat.). Surgery to remove bones or joints. Dictionary of foreign words included in the Russian language. Chudinov A.N., 1910. RESECTION removal of a diseased organ, sawing out of a part of a bone or joint. The complete dictionary... ... Dictionary of foreign words of the Russian language

resection- and, well. resection f. , lat. resection clipping. honey. Surgical removal of a diseased organ, bone or part of them. Bowel resection. Resection of the thyroid gland. ALS 1. At first, without reading anything about joint resections, I ... ... Historical Dictionary of Gallicisms of the Russian Language

RESECTION, resection, female (Latin resectio) (med.). The operation to remove a part of an organ affected by disease or damage. Bone resection. Resection of the stomach. Explanatory Dictionary of Ushakov. D.N. Ushakov. 1935 1940 ... Explanatory Dictionary of Ushakov

Arthrotomy, excision Dictionary of Russian synonyms. resection noun, number of synonyms: 8 arthrotomy (3) … Synonym dictionary

- (from the Latin resectio clipping), a surgical operation to remove (usually partial) a diseased organ (for example, stomach, joint) ... Modern Encyclopedia

- (from lat. resectio cutting off) a surgical operation of excision (usually partial) of a diseased organ (for example, stomach, joint) ... Big Encyclopedic Dictionary

RESECTION, and, wives. (specialist.). The operation of removing an organ or part of an organ. R. stomach. R. joint. | adj. resection, oh, oh. R. scalpel. Explanatory dictionary of Ozhegov. S.I. Ozhegov, N.Yu. Shvedova. 1949 1992 ... Explanatory dictionary of Ozhegov

RESECTION- (from Latin resecare to cut off), the operation of cutting off a part of an organ or member, as opposed to $ 83, unlike the removal of an entire organ or member (amputation, extirpation). Examples: R. of the stomach, R. of the intestine, R. of the omentum, R. of the goiter, R. of the apex of the root of the tooth, R. of the joint ... Big Medical Encyclopedia

resection- resection. The pronunciation [resection] is obsolete... Dictionary of pronunciation and stress difficulties in modern Russian

Resection- (from the Latin resectio clipping), surgical removal (usually partial) of a diseased organ (for example, stomach, joint). … Illustrated Encyclopedic Dictionary

Books

• Shoulder and Elbow Surgery, Alan F. Barber, P. Fisher Scott, Shoulder and Elbow Surgery is a practical guide for the surgical treatment of major injuries of the respective joints. The book contains descriptions of 53 different ... Category: Surgery. Orthopedics Publisher: Medical Literature,
• Breast Cancer , Kim E. , In a publication dedicated to one of the most relevant topics in clinical oncology - breast cancer, the principles of modern classification, the main histopathological forms of tumors are outlined. ... Category: Oncology. Hematology Series: Medical Literature Publisher:

Sometimes women have to hear from their gynecologist that they need an ovarian resection.

Few patients know what it is, so they are very worried and afraid that they will not be able to become a mother after this procedure.

Are these fears justified? Is there any doubt about the appropriateness of the intervention?

Various pathologies of the female reproductive system are, unfortunately, not uncommon in our time. Operative gynecology is designed to correct them, and it is ovarian resection that is one of the most modern and effective types of gynecological care.

Ovarian resection: what is it?

The word "resection" in Latin means "cutting off". In medicine, this term refers to the surgical removal of a diseased area of ​​​​an organ or biological formation, as a rule, with the subsequent reunification of its remaining parts.

Resection of the ovary is a small gynecological operation, which consists in excising a part of the pathologically altered female gonad. In this case, only pathological areas are removed from one or both ovaries, and the integrity of healthy areas is not violated.

Manipulation is used for various diseases of the female genital area, mainly for tumor and cystic processes of the ovary. Excision of a part of the ovary is prescribed after a thorough examination of the patient and only in cases of emergency.

Methods and indications for carrying out

The most common reason for the appointment of ovarian resection are cystic and tumor neoplasms and their complications:

• violation of the integrity of the ovarian cyst with hemorrhage in the body of the ovary or in the abdominal cavity;
• polycystic ovarian disease and infertility caused by it;
• dermoid ovarian cyst;
• torsion of the base of the cyst, causing acute "dagger" pain;
• ovarian cystadenoma, the presence of which is confirmed by the results of ultrasound and biopsy;
• lack of effect from drug treatment of a large ovarian cyst.

Excision of a part of the ovary can solve women's problems of this kind: purulent fusion of the ovary, its damage during a recent abdominal operation (for example, removal of the appendix), an ectopic pregnancy, in which the fetal egg is attached to the surface of the ovary.

This operation can be performed in two ways:

1. laparotomy;
2. laparoscopic.

With laparotomy, access to the diseased organ is carried out through at least a 6-cm incision in the anterior abdominal wall, made with a scalpel. This is an ordinary operation that is performed with standard surgical instruments (scalpel, tweezers, clamps) under the visual control of the surgeon.

Laparotomy is an old traditional method of performing ovarian surgery that has been used in gynecology for many years until recently.

This method has a number of disadvantages.

Such an intervention is fraught with many complications and risks for a woman, brings mental trauma and stress, and leaves behind a noticeable scar on her stomach for life.

In recent years, if there is a technical possibility, the necessary medical equipment and qualified doctors, laparoscopy will be preferred in any gynecological hospital.

The modern laparoscopic method of ovarian resection is more gentle and has undeniable advantages over the traditional laparotomy. During the operation, not one large incision is made, but 3-4 small ones (1.5-2 cm long). Such operations are more easily tolerated by patients, the frequency of complications during the intervention is minimal, postoperative recovery is faster and easier. The method does not create cosmetic defects on the skin - only a few small scars remain after the operation, which disappear with time.

The essence of surgery

Regardless of the method, the operation is performed under intravenous general anesthesia. After the introduction of narcotic drugs, the patient quickly falls asleep and does not feel anything. The duration of the procedure is approximately the same when it is carried out by any of the two methods.

Laparotomy resection

After making sure that the woman is sound asleep, the surgeon makes one large incision on her anterior abdominal wall, and with the help of surgical instruments performs the following manipulations:

1. Moves the ovary and its cysts away from nearby organs and adhesions.
2. Places clamps on the ligament that holds the ovary in limbo.
3. Cuts out pathologically altered tissue from the gland, slightly capturing healthy tissue.
4. Cauterizes or sutures bleeding vessels.
5. Sews together the edges of the remnant of the ovary with a self-absorbable medical thread.
6. Examines the second ovary and the internal organs of the small pelvis.
7. Make sure there is no intra-abdominal bleeding.
8. Drains the abdominal organs with sterile swabs.
9. Sews up the incision on the abdomen, processes the seam.

Laparoscopy

Through short incisions in the anterior abdominal wall, thin metal tubes (trocars) are inserted into the abdominal cavity. Through them, access to the diseased ovary of instruments, light bulbs and video cameras is provided.

Through one of the tubes, a special gas is injected into the abdominal cavity, which makes it possible to lift the abdominal wall and free access to the ovary. The entire resection process is broadcast on the monitor screen, which allows the operating gynecologist to fully control the operation.

Resection of the ovary is performed with an electric knife (electrocoagulator), which is fast in relation to the affected tissues and safe for the surrounding organs. Excising tissues, this knife simultaneously cauterizes (coagulates) bleeding vessels, which eliminates the need for suturing and prevents bleeding.

After excision, the pathologically altered part of the ovary is taken out, the abdominal cavity is drained with tampons, and hemostasis is checked. Then gas and instruments are removed from the abdominal cavity, sutures are applied to the external incisions, and the procedure can be considered completed.

Pain in wounds after laparoscopic resection occurs mainly during movement, but they are much weaker in intensity and easier to bear than pain after laparotomy.

Already on the day of the operation, after a few hours, the patient can get up and take care of herself. External sutures are removed after a week. During the early postoperative period, the wound on the abdomen should be treated with an antiseptic several times a day.

Resection and pregnancy

Is pregnancy possible after ovarian resection?

This intervention does not provide for the complete removal of the ovary, but only part of it, therefore, in the vast majority of cases, the reproductive function of a woman is preserved.

If a woman is interested in pregnancy, then after the operation, drug stimulation of the ovaries is performed, designed to increase their production of eggs.

It is generally accepted that any operation on the ovaries reduces the chances of conceiving a child. Moreover, the more ovarian tissue was removed, the less fertile eggs will remain. However, judging by the numerous reviews of women who have undergone ovarian resection, pregnancy after this intervention occurs and proceeds without any special difficulties. Many of the women who became pregnant a few months after this operation did not even know that the resection allegedly reduces the ability to conceive.

Indeed, after a bilateral resection, when an extensive intervention with a significant removal of the ovarian tissue was performed on both gonads, it will be difficult to get pregnant. In such cases, doctors recommend that a woman plan a pregnancy as early as possible until the entire supply of remaining eggs has been used up.

The same applies to women suffering from polycystic disease who underwent a wedge resection of the ovary in order to obtain a pregnancy.

With this pathology, resection gives only a temporary effect.

In that short time, when the operated area of ​​the ovary has a thin and soft shell, the mature egg has the opportunity to freely exit the ovary into the fallopian tube, where it will have a happy meeting with the sperm. And until the ovary is again covered with a dense capsule - hurry up with conception!

Thus, correctly and timely performed resection of the ovary in some diseases even increases the likelihood of conception.

If for some reason you had to undergo a resection of one of the ovaries, you should not be afraid or despair. Such an operation practically does not affect the ability to conceive, because a completely healthy second ovary remains.

Well, if both sex glands “suffered” from excision, it is better not to postpone conception, because every month there will be fewer and fewer eggs. You can start planning a pregnancy as early as a month after the operation.

gormonexpert.ru

What is a gastrectomy

In the international registry of diseases, the excision of a part of the digestive organ is indicated by the code K91.1. The surgical operation, which was called "resection", was first performed at the end of the 19th century by Theodor Billroth. The results were so successful that it began to be prescribed for the last stages of stomach cancer, which in some cases extended the life of patients up to 5 years.

The methods of resection, which were undertaken by this surgeon, received his name and are still used with some additions introduced by other talented doctors.

At its core, this is the removal of a third or half of the digestive organ with the further connection of the remaining part with the esophagus and the return of healthy working capacity to it. In extreme cases, the entire organ is removed and the esophagus is connected directly to the intestines.

The main ways of carrying out the operation are:

• With billroth 1, the pyloric and antral sections of the organ are excised, followed by the connection of the duodenum with the remaining part according to the principle of anastomosis, according to which the end of one organ is superimposed on the other.
• With billroth 2, the stomach, after excision of its part, is sutured, and the end of the duodenum is inserted from the side.

Varieties of basic methods:

• Sleeve excision is used for severe obesity. During the operation, the lateral part of the digestive organ is excised without damaging its main areas. The stomach acquires a narrowed and slightly elongated shape, which can significantly reduce the amount of food entering it.
• With the distal type, the lower part of the organ is removed.
• One third of the stomach is excised during antral resection.
• With subtotal, the end of the organ is left in its upper region.
• With the proximal, the upper region of the organ is removed along with the cardia.
• An annular resection leaves the upper and lower part of the stomach, removing its middle region.

When is a resection scheduled?

As an extremely radical measure in the treatment of diseases, resection is prescribed:

• with a malignant tumor of the stomach;
• when an organ ulcer is in a severe stage;
• with cicatricial stenosis;
• duodenal ulcer;
• in the presence of polyps in a precancerous condition;
• extreme obesity.

Longitudinal resection of the stomach:

The scale of excision and the method is determined by the degree of the affected areas of the organ. As a rule, the most severe and sometimes dangerous is the resection of the digestive organ for cancer in the 4th degree.

Subtotal resection

This type of operation is prescribed as a last resort for malignant or ulcerative diseases. Depending on how much the ailment has spread, resection can be performed either as an endoscopy with the removal of a small part of the organ, or as a subtotal one with numerous traumatic extended operations. In the latter version, the operation affects not only the stomach, but the lymph nodes, and neighboring organs.

Subtotal resection is prescribed:

• When the analyzes revealed cells of an incomprehensible or suspicious property.
• If the patient's ulcer condition has not improved after a three-week intensive course of therapy.
• When diagnosing cancer.
• When anemia of a complicated form is detected.

Features of resection according to Billroth 2

This type of operation is based on the fact that part of the digestive organ, bypassing the pylorus, is connected to the jejunum. This type of resection was first performed by accident. It so happened that while operating on a cancer patient, Dr. Bellefleur, seeing in what state the organ had already refused to do anything with him, but the assistant suggested that he try to create a new hole in the stomach and connect it to the intestines. The operation was successful and saved the patient's life.

Since then, this type of resection has been perfected, and with modern technologies and rehabilitation courses, patients manage to avoid many complications. The main problem in the excision of the stomach according to Billroth 2 was the occurrence of the so-called intestinal obstruction after the operation. It was formed due to the fact that bile and digestive juice changed places with food and entered the stomach, instead of falling into the outlet knee.

Surgeon Petersen succeeded in changing the course of the operation and avoiding such problems, who was the first to perform a Billroth 2 resection without loop formation.

The advantage of this type of operation is:

• The excision is more extensive, but there is no tension and pressure on the sutures.
• The variant of peptic ulcer formation is almost completely reduced.
• This operating scheme allows you to restore patency and full-fledged work of the organ.

In addition to the positive aspects, this type of resection can show its weaknesses. Any surgical intervention can cause complications, which surgeons must foresee even when examining a patient in the preoperative period.

dumping syndrome

As medical statistics show, in patients who underwent gastric resection, only after 3-5 years the gastrointestinal tract begins to work fully. The rehabilitation period lasts up to 6 months, during which the patient adheres to a diet, avoids physical exertion and wears a bandage.

The reason for such a long period of recovery of the functions of the digestive organ is that with a more gentle regimen, many complications can be avoided. One of them is dumping syndrome.

This condition is due to the fact that incompletely digested food enters the small intestine from the digestive organ, thereby causing its distension and increased blood flow in the organ. As a rule, this syndrome does not appear immediately, but a couple of weeks after the operation on the stomach.

Most often, it is caused by non-compliance with the diet, when the patient begins to absorb more carbohydrates than expected. The size of the removed part of the organ directly affects the occurrence of dumping syndrome. The larger the excision, the more likely its formation. According to statistics, from 10 to 30% of patients after resection begin to experience the consequences of the operation and non-compliance with the rules of nutrition, and most often these are women.

Depending on how soon the patient has an attack, dumping syndrome can be divided into early, if after 10-30 minutes after eating, and late - after 2 hours.

Depending on the severity of the attacks, they are divided:

• For an easy option, when the patient's pulse and heart rate increase, sweating and a feeling of weakness and dizziness increase. This occurs when eating foods with lactose or fructose. A person slightly loses weight and feels slight discomfort in the stomach.
• Moderate severity is accompanied by increased heart rate, vomiting, dizziness and severe weakness, requiring bed rest for an hour until the symptoms go away. The patient experiences a weight deficit of about 10 kg and cannot fully work after each meal.
• With a severe degree of dumping syndrome, the patient is forced not only to lie down after eating for at least 3 hours, but also to eat in a horizontal position. He may faint, be completely exhausted physically, and be unable to work at all.

To determine the presence of dumping syndrome, a test for the speed of emptying the digestive organ helps. In many patients, this condition gradually resolves on its own if carbohydrates are removed from the diet and the intake of protein foods, foods rich in fiber and pectins is increased.

It is important to observe not only nutrition, but also its regime, and the rules of food consumption. Portions should be small but consumed frequently, at least 6 times a day. All food should be thoroughly chewed, and after the end of the meal, it is recommended to lie down for 20-30 minutes.

If the patient suffers from a severe form of dumping syndrome, then he is prescribed sedatives and antihistamines. As a rule, patients who have undergone this postoperative complication are required to be under the supervision of a doctor for a long time.

Unfortunately, dumping syndrome is not the only possible complication after gastric resection.

Causes of anastomosis

This inflammatory process begins in the postoperative period for a number of reasons.

• Tissue injury during resection.
• The mucosa reacted badly to the operation.
• infectious inflammation.
• Negative reaction to the material used for the seams.

This type of complication after resection should never be started, and its symptoms are:

• With a mild degree, when examining an organ, its edema or hemorrhage in it may be detected.
• The average degree is characterized by heaviness in the digestive organ with small portions of food, vomiting, after which relief and hiccups are felt. Endoscopy will reveal numerous hemorrhages and swelling of the mucosa, reduction of the lumen of the anastomosis.
• With a severe degree, all signs intensify. Vomiting becomes profuse, bile appears in it, the patient abruptly loses weight, and abundant hemorrhages are detected in the organ.

The restoration of the digestive organ after part of it has been removed is a long and rather complicated process. Proper nutrition helps to significantly reduce the recovery time.

It consists of the following:

• The menu should be dominated by protein foods with a small amount of fiber and carbohydrates.
• The first weeks, and even better months, the patient should eat grated or semi-liquid food, boiled or steamed.
• After each meal, you should take a horizontal position.
• Eliminate sugar from consumption by changing it to sorbitol.
• Under the ban cold and hot, spicy and fatty.
• Fractional nutrition in small portions.

Diet after surgery:

The menu should be dominated by the following products:

• Lean meat, soft-boiled eggs or scrambled eggs.
• Lean sausages, ground poultry meat to a state of pate.
• Lean boiled or steamed fish.
• Be sure to include in the diet vegetable oils rich in omega 3, 6 and 9, such as linseed or olive.
• Low-fat dairy and dairy products.
• Vegetables such as potatoes, tomatoes, beets, squash and squash.
• Rice, oatmeal and buckwheat porridge on the water.
• Soups with vegetable broths.
• Sweet fruits.
• Tea with milk or mint, apple or tomato juice, rosehip broth.

As a rule, the attending physician prescribes a diet based on the patient's condition after resection and taking into account other diseases. It is necessary to adhere to such a diet for at least six months, gradually introducing other products, but only with the permission of the doctor.

Resection of the digestive organ is an extremely complex operation, prescribed when classical methods of treatment have not justified themselves. After it, the patient begins a different lifestyle, where restrictions and prohibitions prevail. To avoid such a fate, it is necessary to carry out preventive work on the condition of the gastrointestinal tract, undergo regular examinations and adhere to the rules of a healthy diet.

www.gasterinfo.ru

Indications

Absolute readings:

• Malignant tumors.
• Chronic ulcers with suspected malignancy.
• Decompensated pyloric stenosis.

Relative readings:

1. Chronic gastric ulcers with poor response to conservative treatment (within 2-3 months).
2. Benign tumors (most often multiple polyposis).
3. Compensated or subcompensated pyloric stenosis.
4. Severe obesity.

Contraindications

Contraindications for surgery are:

• Multiple distant metastases.
• Ascites (usually due to cirrhosis of the liver).
• Open form of pulmonary tuberculosis.
• Liver and kidney failure.
• Severe course of diabetes.
• Severe condition of the patient, cachexia.

Preparing for the operation

If the operation is carried out in a planned manner, a thorough examination of the patient is preliminarily assigned.

1. General blood and urine tests.
2. Study of the coagulation system.
3. biochemical parameters.
4. Blood type.
5. Fibrogastrodudodenoscopy (FGDS).
6. Electrocardiogram (ECG).
7. Radiography of the lungs.
8. Ultrasound examination of the abdominal organs.
9. Therapist's review.

emergency resection is possible in case of severe bleeding or perforation of the ulcer.

Before the operation, a cleansing enema is used, the stomach is washed. The operation itself, as a rule, lasts no more than three hours with the use of general anesthesia.

How is the operation going?

An upper median laparotomy is performed.

Resection of the stomach consists of several mandatory steps:

• Stage I - revision of the abdominal cavity, determination of operability.
• II - mobilization of the stomach, that is, giving it mobility by cutting off the ligaments.
• Stage III - directly cutting off the necessary part of the stomach.
• Stage IV - the creation of an anastomosis between the stump of the stomach and intestines.

After completion of all stages, the surgical wound is sutured and drained.

Types of stomach resection

The type of resection in a particular patient depends on the indications and location of the pathological process.

Based on how much of the stomach is planned to be removed, the patient can undergo:

1. economical resection, those. removal of one third to half of the stomach.
2. Extensive or typical resection: removal of about two-thirds of the stomach.
3. Subtotal resection: removal of 4/5 of the volume of the stomach.
4. Total resection: removal of more than 90% of the stomach.

By localization of the excised department:

• Distal resections(removal of the end section of the stomach).
• Proximal resections(removal of the inlet of the stomach, its cardial part).
• Median(the body of the stomach is removed, leaving its inlet and outlet sections).
• Partial(removal of only the affected part).

According to the type of formed anastomosis, there are 2 main methods - resection along BillrothI and BillrothII, as well as their various modifications.

Operation BillrothI: after removal of the outlet section, the stump of the stomach is connected by a direct connection "the outlet end of the stump - the inlet end of the duodenum". Such a connection is the most physiological, but technically such an operation is quite complicated, mainly due to the poor mobility of the duodenum and the discrepancy between the diameters of these organs. Rarely used at present.

Billroth resectionII: involves suturing the stump of the stomach and duodenum, the formation of an anastomosis "side to side" or "end to side" with the jejunum.

Resection of stomach ulcer

In case of peptic ulcer, in order to avoid recurrences, they tend to resect from 2/3 to 3/4 of the body of the stomach, together with the antrum and pylorus. The antrum produces the hormone gastrin, which increases the production of hydrochloric acid in the stomach. Thus, we perform an anatomical removal of the area that contributes to increased acid secretion.

However, surgery for gastric ulcers was popular only until recently. Resection began to be replaced by organ-preserving surgical interventions, such as excision of the vagus nerve (vagotomy), which regulates the production of hydrochloric acid. This type of treatment is used in those patients who have increased acidity.

Gastric resection for cancer

With a confirmed malignant tumor, a volume resection is performed (usually subtotal or total) with the removal of part of the greater and lesser omentum to prevent recurrence of the disease. It is also necessary to remove all lymph nodes adjacent to the stomach, as they may contain cancer cells. These cells can metastasize to other organs.

Removal of lymph nodes significantly lengthens and complicates the operation, however, ultimately, this reduces the risk of cancer recurrence and prevents metastasis.

In addition, if cancer has spread to neighboring organs, there is often a need for a combined resection - removal of the stomach with part of the pancreas, esophagus, liver or intestines. Resection in these cases, it is desirable to do a single block in compliance with the principles of ablastics.

Longitudinal resection of the stomach

Longitudinal resection of the stomach(PRG, other names - "drain", sleeve, vertical resection) is a surgical operation to remove the lateral part of the stomach, accompanied by a decrease in its volume.

Longitudinal resection of the stomach is a relatively new method of resection. For the first time this operation was carried out in the United States about 15 years ago. The operation is rapidly gaining popularity around the world as the most effective way to treat obesity.

Although a significant part of the stomach is removed during PRG, all its natural valves (cardiac sphincter, pylorus) are left at the same time, which allows preserving the physiology of digestion. The stomach from a voluminous bag is transformed into a rather narrow tube. There is a fairly rapid saturation in relatively small portions, as a result, the patient consumes much less food than before the operation, which contributes to persistent and productive weight loss.

Another important feature of PRG is that the area in which the hormone ghrelin is produced is removed. This hormone is responsible for the feeling of hunger. With a decrease in the concentration of this hormone, the patient ceases to experience a constant craving for food, which again leads to weight loss.

The work of the digestive tract after the operation quickly returns to its physiological norm.

The patient can expect to lose weight equal to about 60% of the excess weight that he had before the operation. PZhR is becoming one of the most popular surgeries to combat obesity and diseases of the digestive tract.

According to the reviews of patients who have undergone PRG, they literally began a new life. Many who gave up on themselves, who had been unsuccessfully trying to lose weight for a long time, gained self-confidence, began to actively play sports, and improved their personal lives. The operation is usually performed laparoscopically. Only a few small scars remain on the body.

Laparoscopic resection of the stomach

This type of surgery is also called "minimal intervention surgery". This means that surgery is carried out without large incisions. The doctor uses a special instrument called a laparoscope. Through several punctures, surgical instruments are inserted into the abdominal cavity, with which the operation itself is performed under the control of a laparoscope.

A specialist with extensive experience, using laparoscopy, can remove some part of the stomach or the entire organ. The stomach is removed through a small incision no larger than 3 cm.

There is evidence of transvaginal laparoscopic resections in women (the stomach is removed through an incision in the vagina). In this case, no scars remain on the anterior abdominal wall.

Gastric resection performed by laparoscopy undoubtedly has great advantages over open gastrectomy. It is characterized by a less pronounced pain syndrome, a milder course of the postoperative period, fewer postoperative complications, and a cosmetic effect. However, this operation requires the use of modern stapling equipment and the presence of the surgeon's experience and good laparoscopic skills. Usually, laparoscopic resection of the stomach is performed with a complicated course of peptic ulcer and the ineffectiveness of the use of antiulcer drugs. Also, laparoscopic resection is the main method of longitudinal resection.

Laparoscopic surgery is not recommended for malignant tumors.

Complications

Among the complications that arise during the operation itself and in the early postoperative period, the following should be highlighted:

1. Bleeding.
2. Infection in a wound.
3. Peritonitis.
4. Thrombophlebitis.

AT later postoperative period may occur:

• Anastomotic failure.
• The appearance of fistulas in the place of the formed anastomosis.
• Dumping syndrome (dumping syndrome) is the most common complication after gastrectomy. The mechanism is associated with the rapid entry of insufficiently digested food into the jejunum (the so-called "failure of food") and causes irritation of its initial section, a reflex vascular reaction (decrease in cardiac output and expansion of peripheral vessels). It manifests itself immediately after eating with discomfort in the epigastrium, severe weakness, sweating, increased heart rate, dizziness up to fainting. Soon (after about 15 minutes), these phenomena gradually disappear.
• If gastric resection was performed for peptic ulcer disease, then it may relapse. Almost always recurrent ulcers localized on the intestinal mucosa, which is adjacent to the anastomosis. The appearance of anastomotic ulcers is usually a consequence of a poorly performed operation. Most often, peptic ulcers form after Billroth-1 surgery.
• Recurrence of a malignant tumor.
• There may be weight loss. Firstly, this is due to a decrease in the volume of the stomach, which reduces the amount of food taken. And secondly, the patient himself seeks to reduce the amount of food eaten in order to avoid the appearance of unwanted sensations associated with dumping syndrome.
• When performing a resection according to Billroth II, a so-called afferent loop syndrome, which is based on violations of the normal anatomical and functional relationships of the digestive tract. It is manifested by arching pains in the right hypochondrium and bilious vomiting, which brings relief.
• After surgery, iron deficiency anemia can be a common complication.
• Much less common is B12-deficiency anemia due to insufficient production of Castle factor in the stomach, through which this vitamin is absorbed.

Nutrition, diet after gastric resection

Nutrition of the patient immediately after the operation is carried out parenterally: saline solutions, solutions of glucose and amino acids are administered intravenously.

After surgery, a nasogastric tube is inserted into the stomach to suck out the contents of the stomach, and nutrient solutions can also be injected through it. The probe is left in the stomach for 1-2 days. Starting from the third day, if there are no congestion in the stomach, you can give the patient not too sweet compote in small portions (20-30 ml), a rosehip broth about 4-6 times a day.

In the future, the diet will gradually expand, but an important condition must be taken into account - patients will have to follow a special diet that is balanced in nutrients and excludes coarse, indigestible food. The food that the patient takes should be thermally processed, eaten in small portions and should not be hot. Complete exclusion from the diet of salt is another condition of the diet.

The volume of a serving of food is not more than 150 ml, and the frequency of intake is at least 4-6 times a day.

This list contains products strictly forbidden after operation:

1. Any canned goods.
2. Fatty meals.
3. Marinades and pickles.
4. Smoked and fried foods.
5. Muffin.
6. Carbonated drinks.

The hospital stay is usually two weeks. Full rehabilitation takes several months. In addition to following the diet, it is recommended:

• Restriction of physical activity for 2 months.
• Wearing a postoperative bandage at the same time.
• Taking vitamin and mineral supplements.
• If necessary, taking hydrochloric acid and enzyme preparations to improve digestion.
• Regular monitoring for early detection of complications.

Patients who have undergone gastric resection should remember that the body's adaptation to new digestive conditions can take 6-8 months. According to the reviews of patients who underwent this operation, at first the most pronounced weight loss, dumping syndrome. But gradually the body adapts, the patient gains experience and a clear idea of ​​what diet and what foods he tolerates best.

After six months - a year, the weight gradually returns to normal, the person returns to normal life. It is not necessary to consider yourself disabled after such an operation. Many years of experience in stomach resection proves that it is possible to live without a part of the stomach or even completely without a stomach.

If there are indications, the operation of gastric resection is performed free of charge in any department of abdominal surgery. However, it is necessary to seriously approach the issue of choosing a clinic, because the outcome of the operation and the absence of postoperative complications to a very large extent depend on the qualifications of the operating surgeon.

Prices for resection of the stomach, depending on the type and volume of surgery, range from 18 to 200 thousand rubles. Endoscopic resection will cost a little more.

Sleeve resection for the purpose of treating obesity, in principle, is not included in the list of free medical care. The cost of such an operation is from 100 to 150 thousand rubles (laparoscopic method).

Video: longitudinal resection of the stomach after surgery

operacia.info

The essence of the operation

In fact, during the resection of the stomach, a significant part of this organ is removed - from 1/4 to 2/3 of the volume. The indications for such a radical action are:

• malignant tumor (stomach cancer);
• cicatricial stenosis;
• the presence of precancerous polyps;
• non-healing gastric ulcer, the treatment of which has not yielded results, or perforation of the ulcer.

In some cases, this method is used to combat severe obesity.

Basic methods and technique of the operation

During the operation, the affected area of ​​the stomach is removed, and the continuity of the gastrointestinal tract is restored. This happens in two ways.

1. It consists in connecting the stump of the stomach with the duodenum by anastomosis (according to the "end to end" principle). This method is called Billroth I gastric resection (named after Theodor Billroth, an outstanding German surgeon who first performed this operation in 1881).
2. Resection of the stomach according to Billroth II (proposed by the same doctor) - consists in the imposition of an anterior or posterior gastroenteroanastomosis between the stump of the stomach and the jejunum and has several classifications (according to the principle "end to side", "side to side", "side to end") .

The operation is performed under general anesthesia, its average duration is 2.5-3 hours. After 2 weeks, the sutures are removed, and full recovery occurs after 3-6 months (depending on the degree of damage and the volume of the removed part of the organ). The patient is prescribed a special diet for the entire rehabilitation period.

Diet after gastrectomy

After gastric resection surgery, problems with digestion of food may appear, therefore, after this surgical intervention, special nutrition should be organized, divided into several stages.

Stage I

In the first days after the operation, the patient is prescribed fasting. Nutrition is carried out through droppers, then a probe is used. Compotes, teas and decoctions are allowed.

Stage II

On the 3rd-4th day, subject to positive dynamics, mucous soups, soft-boiled eggs, fish and meat purees, soft cottage cheese and other easily digestible foods that the patient consumes on their own are added.

Stage III

On the 5th-6th day, you can add cereals, a small amount of well-mashed vegetables, steamed omelettes to the menu.

Stage IV

A week after the operation (if all this time the food was digested well and there were no problems), you can switch to an expanded diet of a sparing type. Over the next two weeks, digestion should be restored:

• low-fat meat and fish dishes with a high protein content;
• foods containing complex carbohydrates, such as cereals, unsweetened fruits, vegetables, and grains.

Limit or eliminate:

• light carbohydrates - sugar, muffins, confectionery products;
• juices of industrial and home production;
• canned foods;
• products containing refractory fats (for example, sheep meat).

Food should not contain food additives, dyes, flavors and preservatives.

Cooking method

In addition to selective products on the menu, all dishes during the diet should be prepared using gentle technology. They can be boiled, baked or steamed. Wipe solid foods, grind meat, give preference to various purees (from meat, fish, potatoes, etc.). Such a diet must be followed from 4 months to six months. You should eat in small portions up to 6 times a day.

You will find many other useful articles in the Medical Terms section of our website.

elhow.ru

History[edit | edit wiki text]

The first successful resection of the stomach was performed by Theodor Billroth on January 29, 1881, for cancer of the pylorus. The next successful operation was performed by Billroth's first assistant Wolfler on April 8, 1881. This patient was the first of those who lived after surgery for stomach cancer for five years.

The essence of the operation[edit | edit wiki text]

When they say simply “gastric resection”, they mean distal resection of the stomach - removal of the lower 2/3 and 3/4 of it. One of the options for this operation is the removal of the antral part of the stomach, which makes up about 1/3 of the entire stomach, as well as subtotal resection, in which almost the entire stomach is removed, leaving only a 2-3 cm wide area in its upper part. Proximal resection of the stomach is the removal of its upper part along with the cardia, the lower part is preserved to varying degrees. In exceptional cases, for example, in order to remove a benign tumor, an annular segmental resection of the stomach is performed: the lower and upper parts of the stomach are preserved, while its middle segment is removed. The complete removal of the stomach is called a gastrectomy or total gastrectomy.

Distal gastrectomy, gastropylorectomy is the same as a typical gastric resection - removal of 65-70% of the lower part of the stomach. Almost half of the body of the stomach, its antrum and the pylorus are removed anatomically.

The purpose of gastric resection varies depending on the indication for surgery. The two most common diseases for which it is performed are carcinoma and peptic ulcer.

Purpose of surgery for stomach cancer[edit | edit wiki text]

Early stage gastric cancer is one of the most easily operated and at the same time the most difficult to recognize tumors. The surgeon is faced with the task of radically eliminating all tumor tissues in the interests of eliminating metastases. The most common ways of spreading stomach cancer:

• distribution within the wall of the stomach;
• direct transition to organs adjacent to the stomach;
• lymphogenous metastases;
• hematogenous metastases;
• carcinomatous implantation of the peritoneum.

From a surgical point of view, the first three types of tumor spread are of particular importance. Approximately 10% of stomach cancer cases require resection of 2/3 of the stomach. Approximately 60% of cases of gastric cancer have to be subtotal resection, since only this volume of intervention provides an opportunity to remove a wide lymphatic network.

Purpose of surgery for peptic ulcer[edit | edit wiki text]

Resection for peptic ulcer of the stomach has the following two main goals. On the one hand, during this operation, it is necessary to remove from the body a painful, dangerous pathological site - an ulcer, and on the other hand, a recurrence of an ulcer on a remaining healthy gastrointestinal wall should be prevented. Currently, due to the success of anti-Helicobacter therapy, resection, which has a number of serious complications, is rarely used, usually in the case of large ulcers or complicated by severe cicatricial stenosis of the stomach.

Operation technique[edit | edit wiki text]

There are a huge number of different ways to resect the stomach and restore the gastrointestinal tract (GIT). In 1881, Theodor Billroth performed a resection of the stomach, in which, to restore the continuity of the gastrointestinal tract, he imposed an anastomosis between the remaining upper stump of the stomach and the stump of the duodenum. This method was called Billroth I. Also, in 1885, the same Billroth proposed another way to restore the continuity of the gastrointestinal tract, by imposing an anastomosis between the remaining stomach stump and the jejunum. The duodenal stump was sutured. This method was called Billroth II. These methods are still used, but in recent years the desire to operate according to the Billroth I method has prevailed everywhere, and only if it is impossible to perform this operation, they resort to the Billroth II method.

Basic methods[edit | edit wiki text]

• according to Billroth I - the formation of an anastomosis between the stump of the stomach and the duodenum 12 according to the "end-to-end" type. Advantages of the method:
  • Preservation of the anatomical and physiological path of food;
  • Adequate reservoir function of the stomach stump;
  • The absence of direct contact of the gastric mucosa with the mucous membrane of the jejunum, which completely eliminates the formation of peptic ulcers of the anastomosis.
  • Technical simplicity and speed of operation

Disadvantages: the possibility of tissue tension in the area of ​​the anastomosis of the stump of the stomach and duodenum and the presence in the upper part of the gastroenteroanastomosis of the junction of three sutures. Both features can lead to suture eruption and anastomotic failure. If the correct technique of the operation is followed, the influence of these unfavorable factors can be avoided.

• according to Billroth II - the imposition of a wide anastomosis between the stump of the stomach and the initial part of the jejunum in the "side-to-side" type. It is usually used if it is impossible to create a gastroenteroanastomosis in the previous way.
• according to the Chamberlain-Finsterer - a modification of the previous method. The stump of the duodenum with this method is sutured tightly, the anastomosis (somewhat narrower due to the partial suturing of the proximal part of the stump of the stomach) is superimposed between the stump of the stomach and the jejunum in the isoperistaltic direction of the "end-to-side" type. A loop of the jejunum is brought to the stomach stump behind the transverse colon through an opening in its mesentery. It is now recognized that this method has many disadvantages: unilateral exclusion of the duodenum from the digestive tract, the threat of insufficient sutures of the duodenal stump, the development of postoperative complications: afferent loop syndrome, dumping syndrome, duodenogastric reflux with the development of chronic atrophic gastritis.
• according to Ru - suturing the proximal end of the duodenum, dissection of the jejunum with the formation of an anastomosis between the stomach stump and the distal end of the jejunum. The proximal end of the jejunum (with the duodenum) is connected (end-to-side) with the wall of the jejunum below the site of the gastrojejunal anastomosis. This method provides prevention of duodenogastric reflux.
• according to Balfour

Literature[edit | edit wiki text]

• Littmann I. Operative surgery. - 3rd (stereotypical) edition in Russian. - Budapest: Publishing House of the Hungarian Academy of Sciences, 1985. - S. 424-448. - 1175 p.
• Kovanov V.V. Operative surgery and topographic anatomy. - 4th edition, updated. - M.: Medicine, 2001. - S. 345-351. - 408 p. - 20,000 copies. - ISBN 5-225-04710-6.
• Yudin S.S. Sketches of gastric surgery. - M. : Medgiz, 1955. - 15,000 copies.

en.wikipedia.org Is it necessary to treat a wisdom tooth White spots on teeth in adults causes Reflective seal pros and cons

For some diseases of the gastrointestinal tract, gastric resection may be necessary. What it is?

This term in medicine refers to a surgical operation to remove a part of the stomach that has undergone pathological changes.

The essence of the operation

In fact, during the resection of the stomach, a significant part of this organ is removed - from 1/4 to 2/3 of the volume. The indications for such a radical action are:

• malignant tumor (stomach cancer);
• cicatricial stenosis;
• the presence of precancerous polyps;
• non-healing gastric ulcer, the treatment of which has not yielded results, or perforation of the ulcer.

In some cases, this method is used to combat severe obesity.

Basic methods and technique of the operation

During the operation, the affected area of ​​the stomach is removed, and the continuity of the gastrointestinal tract is restored. This happens in two ways.

1. It consists in connecting the stump of the stomach with the duodenum by anastomosis (according to the "end to end" principle). This method is called Billroth I gastric resection (named after Theodor Billroth, an outstanding German surgeon who first performed this operation in 1881).
2. Resection of the stomach according to Billroth II (proposed by the same doctor) - consists in the imposition of an anterior or posterior gastroenteroanastomosis between the stump of the stomach and the jejunum and has several classifications (according to the principle "end to side", "side to side", "side to end") .

The operation is performed under general anesthesia, its average duration is 2.5-3 hours. After 2 weeks, the sutures are removed, and full recovery occurs after 3-6 months (depending on the degree of damage and the volume of the removed part of the organ). The patient is prescribed a special diet for the entire rehabilitation period.

Diet after gastrectomy

After gastric resection surgery, problems with digestion of food may appear, therefore, after this surgical intervention, special nutrition should be organized, divided into several stages.

Stage I

In the first days after the operation, the patient is prescribed fasting. Nutrition is carried out through droppers, then a probe is used. Compotes, teas and decoctions are allowed.

Stage II

On the 3rd-4th day, subject to positive dynamics, mucous soups, soft-boiled eggs, fish and meat purees, soft cottage cheese and other easily digestible foods that the patient consumes on their own are added.

Stage III

On the 5th-6th day, you can add cereals, a small amount of well-mashed vegetables, steamed omelettes to the menu.

Stage IV

A week after the operation (if all this time the food was digested well and there were no problems), you can switch to an expanded diet of a sparing type. Over the next two weeks, digestion should be restored:

• low-fat meat and fish dishes with a high protein content;
• foods containing complex carbohydrates, such as cereals, unsweetened fruits, vegetables, and grains.

Limit or eliminate:

• light carbohydrates - sugar, muffins, confectionery products;
• juices of industrial and home production;
• canned foods;
• products containing refractory fats (for example, sheep meat).

Food should not contain food additives, dyes, flavors and preservatives.

Cooking method

In addition to selective products on the menu, all dishes during the diet should be prepared using gentle technology. They can be boiled, baked or steamed. Wipe solid foods, grind meat, give preference to various purees (from meat, fish, potatoes, etc.). Such a diet must be followed from 4 months to six months. You should eat in small portions up to 6 times a day.

You will find many other useful articles in the section of our website.

Resection (resectio; lat. "cutting off")

surgical operation: removal of part of an organ or anatomical formation, usually with the connection of its preserved parts.

Arthroplasty resection(r. arthroplastica) - simulating joints, in which the newly formed articular surfaces are covered with an auto- or allograft (usually fascial) to prevent their fusion.

Resection of the stomach to switch off( .:, R. of the stomach palliative) - R. of the stomach according to the Billroth-II method with a low-lying duodenal ulcer inaccessible to removal, produced in such a way that it remains in the intestinal stump, but is turned off from the food path through the digestive tract.

Resection of the stomach palliative(r. ventriculi palliativa) - see. Gastric resection on shutdown.

Resection of the stomach pyloroanthral(r. ventriculi pyloroantralis; antrum pyloricum vestibule of the pylorus) - R. of the stomach, in which its pyloric part is removed.

Stomach resection stepwise- R. of the stomach, in which it is cut through the middle of the greater curvature in the transverse direction to the axis of the organ, and then in the direction of the cardial part, where the lesser curvature is crossed; It is used for a highly located ulcer of lesser curvature.

Subtotal gastric resection(r. ventriculi subtotalis) - R. of the stomach, in which only its cardial part and bottom are left; It is used for a high location of the ulcer or for stomach cancer.

Ileocecal resection(r. ileocaecalis; anat. ileum ileum + caecum caecum) - R. of the intestine, in which the terminal ileum and the entire caecum are removed, followed by anastomosis between the ileum and transverse colon.

Pancreatoduodenal resection(r. pancreatoduodenalis; syn.) - R. of the pancreas together with part of the duodenum, followed by restoration of the pathways for the passage of gastric contents, bile and pancreatic secretions.

Modeling joint resection- R. joint with the formation of articular surfaces, close to normal in shape, in order to restore joint mobility.

Extended joint resection- R. of the joint, in which the articular ends of the bones are completely removed; used, for example, in tumors, epiphyseal osteomyelitis.

Joint resection economical- R. of the joint, in which the articular with a thin layer of the underlying epiphyseal is removed in order to subsequently obtain ankylosis.

1. Small medical encyclopedia. - M.: Medical Encyclopedia. 1991-96 2. First aid. - M.: Great Russian Encyclopedia. 1994 3. Encyclopedic dictionary of medical terms. - M.: Soviet Encyclopedia. - 1982-1984.

Synonyms:

See what "Resection" is in other dictionaries:

- (lat.). Surgery to remove bones or joints. Dictionary of foreign words included in the Russian language. Chudinov A.N., 1910. RESECTION removal of a diseased organ, sawing out of a part of a bone or joint. The complete dictionary... ... Dictionary of foreign words of the Russian language

resection- and, well. resection f. , lat. resection clipping. honey. Surgical removal of a diseased organ, bone or part of them. Bowel resection. Resection of the thyroid gland. ALS 1. At first, without reading anything about joint resections, I ... ... Historical Dictionary of Gallicisms of the Russian Language

RESECTION, resection, female (Latin resectio) (med.). The operation to remove a part of an organ affected by disease or damage. Bone resection. Resection of the stomach. Explanatory Dictionary of Ushakov. D.N. Ushakov. 1935 1940 ... Explanatory Dictionary of Ushakov

Arthrotomy, excision Dictionary of Russian synonyms. resection noun, number of synonyms: 8 arthrotomy (3) … Synonym dictionary

- (from the Latin resectio clipping), a surgical operation to remove (usually partial) a diseased organ (for example, stomach, joint) ... Modern Encyclopedia

- (from lat. resectio cutting off) a surgical operation of excision (usually partial) of a diseased organ (for example, stomach, joint) ... Big Encyclopedic Dictionary

RESECTION, and, wives. (specialist.). The operation of removing an organ or part of an organ. R. stomach. R. joint. | adj. resection, oh, oh. R. scalpel. Explanatory dictionary of Ozhegov. S.I. Ozhegov, N.Yu. Shvedova. 1949 1992 ... Explanatory dictionary of Ozhegov

- (excisio ossium) a surgical operation to remove part of one or more bones, while preserving the covers and adjacent soft parts as much as possible. Many types of R. have their own special names: trepanation, sequestrotomy. Sometimes with R. ... ... Encyclopedia of Brockhaus and Efron

RESECTION- (from Latin resecare to cut off), the operation of cutting off a part of an organ or member, as opposed to $ 83, unlike the removal of an entire organ or member (amputation, extirpation). Examples: R. of the stomach, R. of the intestine, R. of the omentum, R. of the goiter, R. of the apex of the root of the tooth, R. of the joint ... Big Medical Encyclopedia

resection- resection. The pronunciation [resection] is obsolete... Dictionary of pronunciation and stress difficulties in modern Russian

Resection- (from the Latin resectio clipping), surgical removal (usually partial) of a diseased organ (for example, stomach, joint). … Illustrated Encyclopedic Dictionary

Books

• Shoulder and Elbow Surgery, Alan F. Barber, P. Fisher Scott, Shoulder and Elbow Surgery is a practical guide for the surgical treatment of major injuries of the respective joints. The book contains descriptions of 53 different ... Category: Surgery. Orthopedics Publisher: