[Ways of raising efficacy of nasointestinal drainage in patients with intestinal obstruction and general peritonitis]. / Puti povysheniia éffektivnosti nazointestinal'nogo drenirovaniia u bol'nykh s kishechnoi neprokhodimost'iu i peritonitom.

Expediency of programmed nasointestinal decompression with gastrointestinal aspirator GOMCO (USA) in patients with intestinal obstruction and general peritonitis in parameters 90 and 120 mm Hg was substantiated. If introduction of the gastric tube into the jejunum is impossible (in patients with adhesive obliteration of higher part of abdominal cavity, severe deformation or obstruction of pyloroduodenal canal) but in absolute indications for long-term intestinal drainage it is expediently to perform extraduodenal intubation of the small intestine by means of creation of posterior minigastrojejunoanastomosis on short loop behind colon.

[Temporary distance shunting of the anastomosis with a probe shunt]. / Vremennoe distantsionnoe shuntirovanie anastomoza zondovym shuntom.

The authors present results of using temporary shunting of intestinal anastomosis in combination with selective lavage of the suture line with a curative antiseptic mixture in experiment in 12 dogs and in clinic in 36 patients with a probe of the authors' original construction. The probe consists of a polychlorvenyl tube with the inner diameter 0.8-1.0 cm, having two inflatable rubber cuffs mounted on the distal end at a distance of 15 cm from each other. After inflation of the cuffs a closed isolated cavity is formed in the zone of intestinal sutures, into which the distal end of the tube is opened for the decompression and selective intraluminal lavage of the anastomosis. The using of the temporary shunting of intestinal anastomosis in combination with selective intraluminal lavage with a mixture of broad-spectrum antibiotics and antioxidant 1.5% Reamberin accelerates the process of the intestinal suture healing, results in favorable course of the postoperative period, prevents complications.