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PubMed2001

[Quality of life of patients with colostomy after colonic injury].

The immediate and late follow-up result of surgical treatment of 98 patients with colostoma, formated for the colonic damage, was investigated. The life saving of a survivor constitutes the main task of operating surgeon. The late follow-up period course was not investigated. The method of estimation of the patient quality of life was elaborated and applied for assessment of the medicinal-rehabilitational measures efficacy. Unfortunate site of the stoma putting up on anterior abdominal wall, mistakes during its formation, the absence of qualitative stomal rigging, the absence or inadequacy of specialized dispanseric follow-up conduction unfavourably influence the quality of life. When specialized medicinal-rehabilitational measures are applied the quality of life indexes stabilization is observed in patients, to whom colostoma was performed, approximately in 3 months after the damage occurs, persisting during 3-4 months.

Adult↗
PubMed2001

[Restorative operations in colostomy patients with short stump of the rectum].

An analysis of restorative operations on 113 patients with a story of obstructive resection of the colon after Gartman has shown that of special technical difficulty were operations on patients with a short (less than 10 cm) stump of the rectum. In 26 patients an apparatus stitch "to the pitch" with the help of suturing apparatuses AKA-2 and AKA-4 of the firm "Ethicon" was used. In 9 patients a combined hand sewing was used. In the patients in whom the continuity of the colon was restored with the help of a mechanical suture "to the pitch" or by the hand combined sewing there were no incompetent anastomoses. Results of the operations were followed-up during the period from 6 months to 3 years. In 2 patients (5.4%) stricture of the anastomosis was diagnosed following its formation with the help of the apparatus AKA-4.

Colon↗
PubMed2001

[Colostomies in gunshot wounds of the large intestine].

The frequency and indications to colostoma formation are shown that were performed during the recent military conflicts in 40-70% of the wounded with large intestinal injuries. The authors state the indications to colostoma formation in the injuries of extra- and intra-abdominal parts of rectum and colon as well as the conditions when colostoma could be avoided. Different methods of colostoma formation and technical details are presented. In field surgery it is reasonable to apply the more simple methods. The operation defects, colostoma complications, measures of their prevention and treatment are discussed in details. The authors distinguish the complications developed in the early postoperative periods and colostoma diseases having independent significance and which become manifestative in 2-3 months after operation.

Colon↗