Alternative treatment of unformed enteric fistulas

Currently the treatment of enteric fistulas is one of the hard problems in abdominal surgery. The origin of the enteric fistulas are always acoompanied by the development of peritonitis of various degree of prevalence, while there is a high mortality rate. For the improvement of the results of the multiple enteric fistulas treatment inder the peritonitis conditions the authors have proposed a methodology of seamless compression interintestinal anastomosis in the experiment. The mechanical strength of the compression anastomoses have been studied, it is formed by the method of hydropneumopressure. As a result it is revealed that in the first day there is a high physical tightness of anastomoses. Then the high mechanical strength of anastomoses insignificantly decreases, and 7 day after the strength of the seamless compression anastomosis increases. The conducted experimental research of the formed seamless compression enteric anastomoses at the prevailed peritonitis has proved their high physical tightness. The absence of the outside substances on the seam line, perfect hemostasis, healing by first intention, dosed compression to the compressed tissues allow wider use of the proposed method of anastomosis.