New reconstructive surgery for radical surgical treatment of colon non-tumorous diseases
Journal Title: Хірургія України - Year 2019, Vol 0, Issue 1
Abstract
The aim — to develop new methods of reconstructive operations after radical surgery of colon nonneoplastic diseases in patients with atypical small intestine and superior mesenteric artery anatomy, as well as atypical anatomical relationship between the ileal segments and the demucosal surgical anal canal, in the presence of irritable bowel syndrome. Materials and methods. New methods of reconstructive surgery after radical surgical treatment of patients with nonneoplastic diseases of the large intestine (small bowel reservoir, ileoendoanal anastomosis method, methods of mobilization and dislocation of the small bowel graft into the pelvic cavity) have been developed. These techniques were used in 32 patients from 2008 to 2017. Results and discussion. Postoperative complications due to the implementation of reconstructiverestoration stage of surgical intervention arose in 3 (9.4 %) operated patients. Favorable functional results were obtained, in particular, the absence of diarrhea syndrome and anal incontinence syndrome in 28 (93.3 %) patients. The presence of postcollectomic syndrome I (mild) degree in 26 (86.7 %) operated patients, II (moderate) degree — in 4 (13.3 %). Conclusions. Developed methods of new reconstructive operations in the radical surgical treatment of patients with nontumor colon diseases contributed to the uncomplicated flow of healing ileoendoanal anastomosis, the postoperative complications frequency reduction, physiological retardation of the small intestine contents, intestinal digestion improvement, absorption, and anal hold.
Authors and Affiliations
V. M. Melnik, A. I. Poyda, A. A. Qadeer
Keywords
Related Articles
- EP ID EP563410
- DOI 10.30978/SU2019-1-23
- Views 125
- Downloads 0
Lipoabdominoplasty in correction of abdominal wall defects
The aim — to increase the treatment efficacy for patients with cosmetic defects of the anterior abdominal wall by introducing new simultaneous operations techniques in combination with lipoabdominoplasty. Materials and...
Mini-laparoscopy with fast-track protocols for the cholelithiasis and hernias treatment
The aim —to analyze the first results of the mini‑laparoscopic cholecystectomy (in comparison with standard laparoscopic cholecystectomy), mini‑laparoscopic repair of hiatal hernia and Nissen fundoplication and mini‑lapa...
Surgery with minimally invasive technologies for acute infected pancreatic necrosis in an elderly patient. Case report
One of the main problems in the treatment of pancreatic necrosis continues to be the choice of the most rational surgical tactics. The wide use of minimally invasive technologies in the complex treatment of acute pancrea...
Computed tomography in patients with colon cancer (case studies and literature review)
The radicalism of planned surgical interventions in patients with colon cancer can be increased due to precision computed tomographic diagnosis. Establishing the x‑ray stage of the disease involves determining the locali...
Description and mode of action of venoactive drugs in treatment of chronic diseases veins of lower limbs according to the 2018 guidelines
-