ABSTRACT
Surgical treatment of 27 patients with chronic colostasis and dolichocolon was analyzed. Groups of patients with cologenic and proctogenic colostasis were defined, diagnostic criteria were formulated and optimal surgical tactics were described for each group. Short and long-term results were analyzed and proved to be excellent and satisfactory in majority of patients.
Subject(s)
Colectomy , Digestive System Abnormalities , Fecal Impaction , Intestine, Large/surgery , Peritonitis/etiology , Postoperative Complications , Adolescent , Adult , Aged , Chronic Disease , Colectomy/methods , Colectomy/standards , Combined Modality Therapy , Diet Therapy , Digestive System Abnormalities/complications , Digestive System Abnormalities/pathology , Digestive System Abnormalities/physiopathology , Digestive System Abnormalities/therapy , Fecal Impaction/etiology , Fecal Impaction/pathology , Fecal Impaction/physiopathology , Fecal Impaction/therapy , Female , Gastrointestinal Agents/therapeutic use , Humans , Intestine, Large/pathology , Male , Middle Aged , Severity of Illness Index , Treatment OutcomeABSTRACT
Method of the combined surgical treatment of patients with coloproctogenic constipation and dolichocolon and internal rectal prolapse had been worked out. The use of the suggested technique effectively prevents anorectal obstruction relapse.
Subject(s)
Colon/abnormalities , Constipation/surgery , Digestive System Surgical Procedures , Rectal Prolapse/complications , Adult , Constipation/etiology , Female , HumansABSTRACT
Surgical treatment of 27 patients with chronic colostasis and dolichocolon was analyzed. Groups of patients with cologenic and proctogenic colostasis were defined, diagnostic criteria were formulated and optimal surgical tactics were described for each group. Short and long-term results were analyzed and proved to be excellent and satisfactory in majority of patients.
Subject(s)
Colon/surgery , Colonic Diseases/complications , Constipation , Digestive System Surgical Procedures , Rectal Diseases/complications , Adolescent , Adult , Aged , Chronic Disease , Colon/abnormalities , Colon/pathology , Colon/physiopathology , Colonic Diseases/physiopathology , Colonoscopy , Constipation/diagnosis , Constipation/etiology , Constipation/physiopathology , Constipation/surgery , Digestive System Surgical Procedures/adverse effects , Digestive System Surgical Procedures/methods , Disease Progression , Female , Humans , Male , Middle Aged , Patient Selection , Rectal Diseases/physiopathology , Sex Factors , Treatment OutcomeABSTRACT
53 patients with dolichocolon and chronic cologenic constipations were operated on. Results of comprehensive preoperative check-up, as well as results of surgical treatment were assessed. 88,7% of patients demonstrated good and satisfactory results. Active surgical tactics in respect of these patients, such as wider use of total colectomy and ileorectostomy is suggested.
Subject(s)
Colon/abnormalities , Colonic Diseases/complications , Constipation/etiology , Constipation/surgery , Digestive System Abnormalities/complications , Adolescent , Adult , Aged , Colectomy , Colon/surgery , Colonic Diseases/surgery , Digestive System Abnormalities/surgery , Female , Humans , Male , Middle Aged , Young AdultABSTRACT
Data of surgical treatment of 17 patients with proctogenic coprostasis and dolichocolon are summarized and analyzed. In spite of the colon stretching, the main reason of coprostasis in all patients was pelvic floor muscles disfunction. Etiologically aimed treatment provided good and satisfactory immediate and long-term results. An importance of scrupulous preoperative diagnostic and active surgical tactics are stressed.
Subject(s)
Colon/abnormalities , Fecal Impaction/etiology , Fecal Impaction/surgery , Adult , Aged , Colon/diagnostic imaging , Female , Humans , Middle Aged , RadiographyABSTRACT
The use of invertation as a surgical treatment of rectovaginal fistulae in 18 adult patients was presented. Operation technique and features of postoperative management were described. Fistula recurrence was observed in one case. Operation was suggested to be a method of choice in surgical treatment of rectovaginal fistulae of large and medium size localized in middle and lower third of vagina.
Subject(s)
Gynecologic Surgical Procedures/methods , Rectovaginal Fistula/surgery , Suture Techniques , Adult , Female , Follow-Up Studies , Humans , Middle Aged , Retrospective Studies , Treatment Outcome , Young AdultABSTRACT
According to the authors, echinococcosis of the diaphragm accounts for 2.24% of all hydatid lesions of the thoracic and abdominal organs. It is pointed out that preoperative diagnosis of concurrent and secondary echinococcosis of the diaphragm is difficult despite the performance of pneumoperitoneum and scanning of the liver. Ten of 12 patients were operated on for echinococcosis of the liver or right lung. One-staged closed echinococcectomy with removal of the residual cavity is the operation of choice in a single echinococcosis of the diaphragm or uncomplicated concurrent echinococcosis. Excision of the dome together with the cyst is recommended for suppurative echinococcosis and irreversible changes of the diaphragm.
