[Preparation of patients with double-channel and marginal colostomies for restorative treatment]. / Podgotovka bol'nykh s dvustvol'nymi i kraevymi kolostomami k vosstanovitel'nym operatsiiam.

The data on restorative treatment of 215 patients with double-channel and terminal colostomy are analysed to determine the efficacy of total lavage of the gastrointestinal tract in preparation of patients for operation. Postoperative complications occurred in 52.4 +/- 3.8% of patients prepared by a diet, purgatives, and enemas and in 34 +/- 6.9% in those prepared by the method of total lavage of the gastrointestinal tract (p = 0.021). Neither suppuration of wounds nor incompetence of the restorative anastomosis occurred after lavage.

[The removal of colostomies in patients with cancer of the large intestine]. / Ustranenie kolostom u bol'nykh rakom tolstoi kishki.

Issues involved in closure of double-barreled and lateral colostomies in patients with cancer of the large bowel were analysed to find out whether the latter disease is a risk factor in reconstructive surgery. The analysis included 215 patients. In 77 (35.8%) of them, colostomy was formed in the course of treatment for large bowel cancer. Two groups of patients were compared by some parameters of patient's preoperative condition, time of closure, method of preparation and type of surgery. Comparison of early postoperative complications following closure revealed significant difference in the frequency of complications on the part of anastomosis. The latter were observed in 11 (14.3 +/- 3.9%) patients with large bowel cancer and 6 (4.4 +/- 1.7%) cases of nontumor pathology (P = 0.023). The rate of development of those complications was shown to depend on the method used to restore the continuity of the bowel. It was concluded that cancer of the large bowel was not a direct factor of risk in closure of double-barreled and lateral colostomies.