Previous
Next
ARCHIVE
№3' 2013
SURGERYInternational Medical Journal, Vol. 19., Iss. 3, 2013, P. 70−78.
SUBSTANTIATION OF RESTORATIVE AND RECONSTRUCTIVE-RESTORATIVE OPERATIONS ON THE LARGE INTESTINE
A.A. Bogomolets National Medical University, Ukrainian Centre for Coloproctology, Kyiv
Abstract. The work covers an urgent issue of contemporary coloproctology, i.e. saving the life of the patient by means of elimination of the disease and return of the patient to the society physically and socially rehabilitated. The authors present the original tactics of restorative and reconstructive−restorative operations on the large intestine based on the use of absolute and relative contraindications to it. It was performed in 1394 patients at Ukrainian Centre for Coloproctology. The use of this tactics, methods of prognosis and purposeful prevention of the complications allowed to increase the number of restorative operations from 64.6 to 71.2 %, reconstructive−restorative from 16.8 to 25.7%, improve the functional results after reconstructive−restorative operations, diminish the frequency of complications of healing interintestinal anastomoses and anatomical functional constructions from 14.1 to 5.6%, reduce post−operative death rate from 2.6 to 0.9%. Successful performing of the above operations is possible in specialized institutions with the experience of improvement of new technologies of restoration and reconstruction of the intestine.
Key words: large intestine, reconstructive, reconstructive−restorative operations, functional results.