ABSTRACT
Morphofunctional changes in intestinal wall above the obstruction were studied experimentally in 112 rats with low intestinal obstruction. Treatment with antioxidants and lasertherapy was developed. After removal of obstruction this complex permits to eliminate its negative local and general consequences 1.5 times faster than without it. Laparoscopic decompressive colostomy was performed in 65 patients with sub- and decompensated colonic obstruction. The developed therapeutic scheme was included in combined treatment before surgery. There were no lethal outcomes, purulent-inflammatory complications were seen in 24 (39.6%) patients.
Subject(s)
Colonic Diseases/surgery , Colostomy/methods , Intestinal Obstruction/surgery , Laparoscopy , Colonic Diseases/pathology , Colostomy/adverse effects , Colostomy/mortality , Decompression, Surgical , Female , Humans , Intestinal Neoplasms/complications , Intestinal Obstruction/etiology , Intestinal Obstruction/pathology , Male , Middle AgedABSTRACT
Long-term results of the developed variant of sphincter-saving operation in distal cancer of the rectum were analyzed. The patients were operated at the age of 50-70 years. Local spread of tumor didn't exceed T2-stage, if the tumor located 3 cm from the serrate line of the anal canal. Inclusion of complete sphincterotomy in perineal stage of operation for most radical surgery and also the complex of technical approaches, eliminating negative consequences of sphincterotomy, was the features of abdominal-anal resection. 69% from the all examined patients survived 5 years and more. Functional outcomes were evaluated. Some results of developed operation allow to recommend this variant for clinical use.
