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 111
- Downloads 0
Superficial temporal artery based flaps for reconstruction of postburn scar facial defects
The facial tissues restoration for cicatricial defects after burns and injuries is one of the complex problems of reconstructive surgery. Preformed flaps are not widely used because of the complicated application, freque...
TNM classification of colorectal cancer, 8th edition (2017): clinical application
The article presents the 8th edition of the TNM classification of colorectal cancer (UICC, AJCC, 2017), which introduces changes to T, N, and M categories reflecting contemporary clinical (cTNM) and pathological (pTNM) p...
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...
Sentinel lymph nodes concept in early gasctric cancer
A review of literature data on the treatment of patients with early gastric cancer has highlighted the tactics of surgical intervention in gastric cancer focused the sentinel lymph nodes concept.
Diagnosis and treatment of disseminated intravascular coagulation in burn patients
The aim — to study the violations of the hemostasis system in the acute period of burn disease in severely burned as a prophylaxis for thrombotic complications and provision of early surgical treatment. Materials and met...