CAPITONNAGE

From Big Medical Encyclopedia

CAPITONNAGE (fr. capitonnage) — sewing up of walls and edges of a wound for the purpose of closing or reduction of a cavity. Sewing up is made separate noose or purse-string sutures (silk, a catgut, lavsan) from within, beginning from a bottom of a wound, gradually occupying more superficial sites to cause a full obliteration of a cavity. To. apply to closing of deep not contaminated wounds of soft tissues, sewing up of the cavities remaining after removal of parasitic (echinococcal) or not parasitic cysts, and also tumors of a liver, a spleen, lungs.

To., made after removal of a parasitic cyst at surgical treatment of an echinococcosis, received the name of a way of Delbe. In this case for bigger durability seams capture the dense fibrous capsule which is formed in the struck body around a parasitic cyst. In vascular surgery To. use at operations for traumatic aneurisms for sewing up of a cavity of an aneurysmal bag.

To. apply at a sectoral resection of the mammary gland undertaken concerning a mastopathy or benign tumors.

O. B. Milonov.

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