Sapozhkova Method of Closing Intestinal Fistula

Sapozhkov's method of closing an intestinal fistula is a surgical operation developed by Russian surgeon K.P. Sapozhkov for closing fistulas of the colon.

The essence of the method is as follows:

1. An incision is made around the fistula opening.

2. The tissue around the fistula is separated.

3. The intestine is mobilized along the fistula for 5-7 cm.

4. A double-row suture is placed on the fistula opening in the intestinal wall.

5. Plastic surgery of the peritoneal defect around the fistula is performed.

6. The skin over the fistula is sutured.

Advantages of the Sapozhkov method:

1. High efficiency - closure of the fistula is achieved in 90-98% of cases.

2. Relative ease of implementation.

3. Preservation of intestinal integrity, as opposed to resection.

4. Possibility of use for fistulas of any location.

Thus, the Sapozhkov method is a reliable and effective operation for closing intestinal fistulas. It avoids bowel resection and colostomy. Widely used in surgical practice.

Intestinal fistulas are pathological anastomoses between the intestinal lumen and the external environment or between intestinal loops. Fistulas can be external (open) or internal (closed), depending on where their entrance is located. A fistula can occur due to injury or surgery.

Treatment of intestinal fistulas involves surgery to close the passage and remove external fistulas or remove internal closed fistulas.

Professor Sapozhkov has developed a method for closing intestinal fistulas, which is called the Sapozhkov method of fistula closure. This technique is based on flap concepts, including use in intestinal tissue.

The Sapozhkov method involves using the ends of the patient's healthy intestine as connective tissue to close the fistula opening. A long, thin piece of intestine is placed in a suture over the opening of the fistula, and a second short piece of intestine is attached to the first end of the intestine by two cuts - one at each end of the intestines. The ends of the intestines are then tied together with sutures, forming a single and dense “plastic” connecting flap. This flap is closed over the opening of the fistula and forms a secure connection once healed.

During treatment with this method, healthy intestinal tissue is used to form a connective flap that covers the fistula joints. This helps avoid infections that