Preview

Health and Ecology Issues

Advanced search

Experimental evaluation of the tightness of closure of the perforated opening of the stomach using sutureless methods

https://doi.org/10.51523/2708-6011.2026-23-1-12

Abstract

Objective. To conduct an analysis of the closure tightness of the perforated opening of the stomach using sutureless methods in comparison with suture methods in an experiment.

Materials and methods. The macroscopic picture of the abdominal cavity was studied, gastric pneumohydropressure and microbiological examination of the abdominal cavity contents were performed in 80 animals from 4 groups.

Results. In the conducted study, when comparing the macroscopic picture, pneumohydropressure, microbiological assessment of the traditional (suture) and sutureless methods of closure of the perforated opening of the gastric ulcer, no significant differences were found.

Conclusion. The method of suturing by mechanical fixation of tissues appears to be more durable, however, sutureless methods, due to the properties of the materials and the method of application, create conditions sufficient for the formation of a hermetic seal of the perforation hole, and are not inferior to suture methods.

About the Authors

E. I. Makarevich
Grodno State Medical University
Belarus

Evgeny I. Makarevich, Аssistant at the 1st Department of Surgical Diseases 

Grodno 



V. V. Kudlo
Grodno State Medical University
Belarus

Viktor V. Kudlo, Candidate of Medical Sciences, Associate Professor at the Department of Operative Surgery and Topographic Anatomy, Dean of the Faculty of General Medicine 

Grodno 



I. G. Zhuk
Grodno State Medical University
Belarus

Igor G. Zhuk, Doctor of Medical Sciences, Professor, Rector  

Grodno 



D. F. Yakimovich
Grodno University Clinic
Belarus

Dmitry F. Yakimovich, Deputy Chief Physician for Surgery 

Grodno 



References

1. Zaharov DV, Uhanov AP, Zhilin SA, Bolshakov SV, Leonov AI, Ambarcumjan VM. Use of endovideosurgical technology for suturing perforated ulcers of the stomach and duodenum. Endoscopic surgery. 2018;24(3):17-20. (In Russ.).

2. Aliev SA, Aliev JS. Endovideosurgery of perforated gastroduodenal ulcers: opportunities and prospects. Literature review. Herald of surgical gastroenterology.2017;(4):17-25. (In Russ.).

3. Bordakov VN, Doronin MV, Bordakov PV. Minimally invasive interventions using the hemostatic agent fibrinostat. Surgery. East Europe 2018;7(4):465-473. (In Russ.).

4. Kudlo VV, Kiselevskij JuM. Changes in blood biochemistry parameters during liver wound closure with omentum, TachoComb and Fluoroplast-4 in the experiment. Journal of Grodno State Medical University. 2016;2(54):50-54. (In Russ.).

5. Voroncov AK, Troshin VP, Parhisenko JuA,Korsakov AV, Klimashevich AV. Evaluation of the effectiveness of using gel sorbents in the blood in traumatic liver injuries. News of higher educational institutions. Volga region. Medical sciences. 2020;1(53):38-47. (In Russ.). DOI: https://doi.org/10.21685/2072-3032-2020-1-5

6. Podvigina TT, Filaretova LP. The influence of glucocorticoid hormones on healing processes in the gastric mucosa. Advances in physiological sciences. 2016;47(1):3-14. (In Russ.).

7. Cukanov JuT, Nikitin VN. Results of treatment of patients with perforated ulcer and cicatricial deformation of the pyloroduodenal zone. Surgical news. 2014; 22(3):313-320. (In Russ.).

8. Aliev FSh, Azizov SB, Lejmanchenko PI, Krutskih AG. A look at the mechanical strength of anastomosis. Tyumen Medical Journal. 2014;16(4):52-55. (In Russ.).

9. Samarcev VA, Kuznecova MV, Gavrilov VA, Kuznecova MP, Parshakov AA. Anti-adhesive barriers in abdominal surgery: current state of the problem. Perm Medical Journal. 2017;34(2):87- 93. (In Russ.).


Supplementary files

1. Неозаглавлен
Subject
Type Other
Download (345B)    
Indexing metadata ▾
2. Неозаглавлен
Subject
Type Other
Download (9MB)    
Indexing metadata ▾
3. Неозаглавлен
Subject
Type Other
Download (8MB)    
Indexing metadata ▾

Review

For citations:


Makarevich E.I., Kudlo V.V., Zhuk I.G., Yakimovich D.F. Experimental evaluation of the tightness of closure of the perforated opening of the stomach using sutureless methods. Health and Ecology Issues. 2026;23(1):104-110. (In Russ.) https://doi.org/10.51523/2708-6011.2026-23-1-12

Views: 87

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)