Selective Proximal Vagotomy. Prices, Reviews, Ratings
General information
This operation is often performed to treat gastric ulcer and duodenal ulcer, during which the branches of the vagus nerve are crossed and those that go towards the liver and solar plexus.
Procedure
Preparation
Before the operation, the patient takes a full list of necessary laboratory tests and undergoes hardware examinations for the purpose of comprehensive diagnosis of the disease. Also, the preparation should be aimed at correcting various disorders.
The process of performing selective proximal vagotomy
Technique of proximal selective vagotomy:
- administering anesthesia to the patient;
- performing laparotomy;
- locating the anterior nerve under the peritoneum, isolating the anterior and posterior trunks of the vagus in the esophagus;
- dissecting the anterior abdominal leaf of the lesser omentum from the branch of the "goose foot" in layers;
- intersecting the branches that extend from the anterior nerve and the posterior leaf of the lesser omentum;
- crossing the phrenic-gastric ligament and lifting the esophagus;
- intersecting and ligating gastroepiploic artery and adjacent nerves;
- peritonization of the lesser curvature with seromuscular sutures;
- longitudinal suturing of the incision edges.
Most often, selective proximal vagotomy is supplemented by pyloroplasty.
Rehabilitation period
During the first day after surgery, strict bed rest and fluids are required. Getting up and eating light food is allowed only on the 2nd day. Discharge from the hospital is usually after 1-2 weeks. Full recovery occurs in 4-5 weeks.
Indications and contraindications
The use of this technique is indicated for the following pathologies:
- stomach and duodenal ulcers;
- gastroesophageal reflux (inflammation of the esophageal mucosa due to reflux of gastric contents);
- diaphragmatic hernias.
Contraindications
It is prohibited in the presence of the following manifestations:
- extremely high acidity stomach;
- peritonitis;
- infections;
- bleeding;
- cancer;
- severe heart and lung diseases.
Complications
The most common consequences are:
- relapse of ulcerative disease;
- bleeding;
- infection of the surgical wound.
Prices and clinics
This service is provided by an experienced gastroenterologist in specialized medical institutions. You can get acquainted with clinics and specialists, as well as read patient reviews on the medical portal .
Схожі новини:
