[Approaches for formation of the large bowel anastomoses for prophylaxis of their sutures insufficiency].

The results of surgical treatment of 424 patients, in whom the postponed and elective surgery was done for the large bowel malignancies, were analyzed. Advantages of a one-layer suture while formation of a large-bowel anastomoses in comparison with a two-layer suture were noted: minimal rate of the sutures insufficiency--(4.9 +/- 0.8)%, and (7.9 +/- 1.7)%, accordingly (p<0.001). Mostly often insufficience of the colorectal anastomosis sutures was observed after anterior rectal resection--in (9.7 +/- 1.9)% and (7.2 +/- 1.5)% patients. Postoperative lethality was 2.6%, for majority of the patients the reasons of the death were pulmonary thromboembolism and an acute cardio-vascu- lar insufficiency.

[Strategies of treatment of acute obturative colonic ileus]. / Taktika lecheniia ostroi obturatsionnoi neprokhodimosti tolstoi kishki.

Results of surgical treatment of 326 patients with an acute obturation colonic ileus (AOCI) were analyzed. Tumor was localized in left half of colon and retrosygmoid part in 76.8% of observations. There were admitted to the hospital 49.1% of patients with AOCI in subcompensation and decompensation stages. Radical operation was done in 65.4% and palliative one--in 34.6% of patients. Decompression of upper and lower parts of the gut, using oxygenated solutions, was done in complex of preoperative preparation and during operation performance. The method of colonic intraoperative decompression was depicted. In 26.3% of patients for AOCI postoperative complications occurred. Mortality have constituted 11.7%: after operation for AOCI in compensation stage--2.4%, while in subcompensation and decompensation--21.3%.