Bass Fistula

A basal fistula is a surgical procedure used to gain access to the stomach and duodenum. It was developed by Russian surgeon Vladimir Aleksandrovich Basov in the 19th century.

A basal fistula is performed by creating a hole in the abdominal wall and inserting a tube through the hole into the stomach or duodenum. The tube can be used to feed the patient and also to remove stomach contents.

Advantages of the basal fistula include long-term access to the stomach, allowing for various procedures such as endoscopic examinations and surgeries. However, this method has some disadvantages, such as the risk of infection and tissue damage.

Currently, the basal fistula is rarely used due to the development of new methods of access to the stomach. However, it remains an important procedure for some patients, especially those who require long-term access to the stomach or duodenum for the treatment of various diseases.

Basanova fistuda is a surgical intervention in which an opening is created for the outflow of stomach contents into the anterior abdominal wall or under the skin. Synchronized bluffs is a name derived from the name of the Russian doctor B. A. Basov, who was the first to propose an operation to sanitation the stomach and form a free fistula between the stomach and the abdominal cavity to prolong the life of hopeless patients. Currently, there are many reasons why a sanitized gastrostomy may be required - perforation, rupture of a gastric ulcer, stomach cancer, gastric gangrene. Treatment of indefinite gastrism of the stomach is used when it is impossible to continue traditional standard hemodialysis therapy due to the absence of relatives or the need for constant monitoring, lack of medical care, operations are not performed when there is long-term contact with relatives, there are no social and living conditions (including medical care and food); the patient refuses the operation. Operation technique:

A longitudinal incision 5-7 cm long, made in the left hypochondrium, opens the abdominal cavity. In case of stomach cancer, after extensive mobilization of the stomach, the entrance to the stomach is carried out as close as possible to the pharynx of the stomach, since there may be a tumor or intestinal anastomosis near it. Mobilization of the greater omentum may be complicated by the arrival of an aneurysm or dissecting ecteresma of the aortofemoral zone; in such cases, the diaphragm muscle is dissected above the diaphragm along the left branch of the aorta for a length of 1-2 cm; The walls of the organs are lowered down, cutting through both intestines, and the tumor is removed. Vessels may be located on the left side of the stomach towards the lower semi-axis of the stomach behind the ear. To avoid their damage, the wall of the stomach is cut and the vessels are immersed in the abdominal cavity between two wound surfaces; it is better to duplicate the stomach around the vessels and bring them below the left vocal cord. The jejunum is removed from the abdominal cavity through the left gynococcus. After the inflammatory phenomena have subsided, the duodenal stump is pulled up in the abdominal cavity to the stomach from bottom to top along the lesser omental passage, where it is fixed to the walls of the stomach. Then the stomach wall is sutured with two rows of interrupted sutures. Separate ligatures are applied several times between the teeth of the arrow to give the trunk of the hole in the stomach an almost slit-like shape with an opening length of 2.5 cm, by smoothly moving the circumference of the omental sac below the surgical wound using moving threads. The anterior wall of the stomach is stitched only through the tissue of the bottom of the thick omentum and mucous membrane. A ligature is inserted through the medial gastric hernia and held in place with two attached loops. An incision is made over each ligature and an interrupted suture is applied. In this way, an unfused wall of the gastroepiploic sac is formed. From the side of the abdominal cavity, both edges of the wound are brought together and their edges are connected to each other with several sutures. A sterile bandage is applied to the wound of the anterior abdominal wall. The suture on the walls of the stomach is removed after 8-10 days.