Leakage surgery should be fistula surgery, fistula surgery is currently common: gastrostomy, suprapubic cystostomy, ileal double-oral fistula, ileal single-oral fistula, appendicostomy, transverse colostomy, pyelostomy and nephrostomy, cholecystostomy, jejunostomy.
Taking gastrostomy as an example, after successful general anesthesia or epidural anesthesia, the patient is placed in supine position, the skin of the operative area is disinfected with iodine-vapor, a sterile sheet is laid down, and a median incision is made in the epigastric region under the xiphoid process, which is incised layer by layer to enter the abdominal cavity and protect the incision.
The anterior wall of the stomach was lifted, a small hole was cut in the appropriate position, and a mushroom head drain was placed, and the plasma muscle layer of the gastric wall around the drain was closed with 2 loops of purse-string suture, and the suture line was tightened and knotted.
A small hole was cut in the abdominal wall on the left side of the incision to drain the drain tube, and the plasma muscle layer of the gastric wall around the drain tube was closed with several interrupted sutures to the peritoneum in the corresponding position. After checking that there was no active bleeding or leakage of digestive fluid, gauze instruments were counted, the incision was closed layer by layer, and the drainage tube was fixed, and the operation was completed.