To drain the cavitary formation, we impose an anastomosis between it and the loop of the small intestine 40–50 cm from the ligament of Treitz. We form the interintestinal anastomosis according to Brown. Above this anastomosis, the length of the area leading to the drained formation the small intestine is about 10 cm, in the middle of which we put a "plug". The length of the section of the small intestine from the renable formation to the interintestinal Brownian anastomosis is about 30 cm (Fig. 1).Rice.1. Scheme of drainage of a cavity formation of the abdominal cavity or retroperitoneal space using a "plug" Upon receipt of the desired parameters according to the formula D2 = 2√Dd. Arefluxity is checked by intraoperative water test. This technique was used in 73 clinical cases: in 15 - during drainage of pancreatic cysts, in 5 - with gastroenterostomy, in 5 - with gastroenterostomy after gastric resection, in 3 - with esophagojejunostomy after gastrectomy, in 19 cases with duodenojejunostomy in order to correct a chronic violation of duodenal patency, in 2 cases with internal drainage of liver cysts, in 11 cases with choledo- cystojejunostomy, in 7 - during reconstructive operations on the biliary tract. In 4 clinical cases, the free part of the loop of the small intestine was not used for drainage, but was removed to the skin for the purpose of enteral ral nutrition.
ะกonclusions: 1. A safe, generally available, adequately performing areflux function method for forming a “plug” on the small intestine has been developed and introduced into surgical practice.
2. It is always necessary to isolate the drained structures of the abdominal cavity and retroperitoneal space from the intestinal contents.
