METHODS FOR THE PREVENTION OF INSOLVENCY OF COLORECTAL ANASTOMOSIS AT RESTORING CONTINUITY OBSTRUCTIVE BOWEL AFTER RESECTION

Purpose: To improve the results of restorative surgical treatment of patients after obstructive resection of the distal colon. Materials and methods: The analysis of surgical treatment results at 30 patients who had operations on restoring the intestinescontinuity after obstructive resections of dis...

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Main Authors: V. S. Groshilin, Yu. L. Naboka, M. I. Sultanmuradov, A. D. Haragezov
Format: Article
Language:English
Published: State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation 2014-03-01
Series:Медицинский вестник Юга России
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Online Access:https://www.medicalherald.ru/jour/article/view/215
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Summary:Purpose: To improve the results of restorative surgical treatment of patients after obstructive resection of the distal colon. Materials and methods: The analysis of surgical treatment results at 30 patients who had operations on restoring the intestinescontinuity after obstructive resections of distal segments of a large intestine has been carried out (operations of Hartmann type).Results: The algorithm of defining the timeframes and way of operations on restoring large intestine continuity has beendeveloped. The priority value in the choice of length and functional condition of a postcolostomic stump medical tactics, changesof its microflora, as well as function of the rectal locking apparatus has been established.Summary: The obtained results (93,3% of favorable outcomes without complications) allow to recommend the offered tactics(including preventive methods of anastomosis incompetence and transanal decompression of the intestines) for wide practicalapplying.
ISSN:2219-8075
2618-7876