ABSTRACT
The authors made an analysis of results of surgical treatment of 41 patients who underwent reconstructive large bowel anastomosis by the Hartman procedure. In 19 (46.3%) patients the anastomoses were performed by traditional methods (end-to-end and end-to-side) using a two-row suture. In 22 (53.7) patients the anastomoses were made by one-row sutures. The authors conclude that the results of formation of invaginated colorectal anastomosis depend on the method of forming anastomosis, with the performing of colorectal anastomosis by traditional method fraught with the development of the content reflux in the outlet. The authors proposed a method of forming colorectal anastomoses by invagination using a one-row suture. The obtained function of the valve prevents regurgitation of the intestinal content and is considered to be a measure for preventing reflux.
Subject(s)
Anastomosis, Surgical/methods , Intestine, Large/surgery , Plastic Surgery Procedures/methods , Suture Techniques , Adult , Aged , Female , Humans , Male , Middle Aged , Young AdultABSTRACT
The authors make an analysis of surgical treatment of 24 patients with right hemicolectomy and the formation of ileotransversoanastomosis. Depending on the method of the formation of interintestinal anastomosis the patients were divided into 2 groups: in the first group of 8 (33.3%) patients the ileotransversoanastomosis was formed by a traditional method using double row seams; in the second group of 16 (66.7%) the ileotransversoanastomosis was formed using a modified method of invagination using a single row seams. The authors based on the investigation performed make a conclusion that the results of right hemicolectomy depend on the method of forming the interintestinal anastomosis, the formation of ileotransversoanastomosis by a "classical" variant is fraught by the development of reflux enteritis. The authors propose a technique of formation of ileotransversoanastomosis by the method of invagination using a 1 row seam, performing the function of the valve, prevents regurgitation of the intestinal contents and is a measure of prophylactics of reflux-enteritis.
Subject(s)
Colectomy/methods , Colon, Transverse/surgery , Ileum/surgery , Adult , Aged , Aged, 80 and over , Anastomosis, Surgical/methods , Colonic Neoplasms/surgery , Female , Follow-Up Studies , Humans , Male , Middle Aged , Time Factors , Treatment Outcome , Young AdultABSTRACT
Selective proximal vagotomy (SPV) was performed in 658 patients. Recurrent ulcer was revealed in 6.2% of them. A classification of recurrent peptic ulcer is proposed. An operation was carried out for a second time in 65 patients. Correct techniques of SPV, excision of the ulcer, and stomach draining operations with consideration for the functional condition of the duodenum during the first operation are conducive to marked decrease in recurrences of the ulcerative process.
