Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector5270310.17816/kazmj52703Research ArticleOn the closure of intestinal fistulas by the method of eversion of the resected segments through the fistulous openingKartashevM. V.info@eco-vector.com130319302633033043011202030112020Copyright © 2020, Kartashev M.V.2020<p><span class="VIiyi" lang="en"><span class="JLqJ4b" data-language-for-alternatives="en" data-language-to-translate-into="ru" data-phrase-index="0">Having read in No. 10 of the Kazan Medical Journal for 1929 an article by Dr. N.I.Saudovsky on this topic and taking into account the small number of operations of this kind described in Russian literature, I decided to describe my own case, especially that it presents some features. On January 9, 1926, a 9-year-old boy, Abkhazian, S. Zh., With a neglected gangrenous right-sided inguinal hernia, was delivered to the Sukhum main hospital of Abkhazia, in serious condition. I did not dare to perform an operation to restore the intestinal tube, in view of the sharply expressed intoxication of the patient. The hernia was phlegmonous. I limited myself to removing the dead part of the scrotum and hernial sac, up to the external opening of the inguinal canal, and cut off the strangulated dead loop of the small intestine. Then I sewed several sutures to the aponeurosis and the pupar ligament of the adductor and the abductor, along with the rest of the hernial sac. The testicle and spermatic cord were isolated and preserved as they appeared to be viable. This was confirmed by the further course of the disease. The operation was performed under spinal anesthesia.</span></span></p>Kazan Medical archiveКазанский медицинский архив