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PubMed2003

[Specifics of restorative surgeries in patients with unilateral colostomy].

In 194 patients with one--barrel colostoma experience of the reconstructive-restoration operations stage) performance was summarized. The surgical tactics was studied depending on the main disease nature, peculiarities and complications of the first operative treatment, presence of accompanying diseases, terms of the restoration operation performance, length of colonic stump. Period from the moment of radical intervention performance to restoration operation had constituted from 5 months to 12 years. It is recommended to apply the end--to the stump side anastomosis after performance of the Gartmann type operation and in presence of a short stump--the colonic descendence into the rectum stump. Method of colonic descendence via the rectum stump after the tunnel formation using perineal access was proposed. The most frequent complications were observed after the Dyuahmel type of operation performance. For successful surgical treatment the authors recommend conduction of measures directed for prophylaxis of purulent--inflammatory complications, application of rational surgical tactics, adequate blood supply of transplant.

Adolescent↗
PubMedDate not supplied

[The systematization of nursing care for the colostomy-ileostomy patient in a private hospital].

A Systematic Nursing care to ostomized patients at Oswaldo Cruz German Hospital (São Paulo Brazil) has been used in order to care for these patients through a nursing process approach since December 1988. Until June 1991 the group gave orientation to 115 patients. This systematic nursing care has three steps: pre-operative period, pos-operative period and discharge. These steps improved self care without complications and guided the patients to work with ostomy associations which helped them im their whole reintegration.

Adolescent↗