Applying double spiral uninterrupted hemostatic suture during hepatic resection

Abstract

The new method of applying a suture during hepatic resection was developed. It consists in applying a double spiral uninterrupted hemostatic suture after resection. The method approved in the 24 dogs experiment revealed good results. The application of the technique developed accelerates suturing, provides a reliable hemostasis, ensures uniform compression on the vascular and bile formations of liver parenchyma at the manipulation area, and significantly reduces the ischemic area of the liver stump, which lies distal to sutures. It minimizes the chance of postoperative necrosis of this area and reduces the number of possible residual cavities between the wound surface of the liver and epiploon portion. It contributes to far more successful surgical results with minimum postoperative complications.