RATIONALE FOR THE TECHNICS OF JEJUNO- AND COLOSTOMIES APPLICATION FOR TREATMENT PURPOSES IN PATIENTS WITH ACUTE INTESTINAL OBSTRUCTION AND PERITONITIS
Introduction. The following article contains the consideration of issues, related to rationale for the technics of jejuno- and colostomies’ application for treatment purposes in patients with acute intestinal obstruction and peritonitis. Currently such methods as Brooke’s ileostomy, double-barrel st...
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Format: | Article |
Language: | English |
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Bashkir State Medical University
2017-09-01
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Series: | Креативная хирургия и онкология |
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Online Access: | https://www.surgonco.ru/jour/article/view/240 |
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author | Vladimir I. Belokonev Andrey G. Zhitlov Andrey I. Gritsaenko Yuriy I. Erdeli |
author_facet | Vladimir I. Belokonev Andrey G. Zhitlov Andrey I. Gritsaenko Yuriy I. Erdeli |
author_sort | Vladimir I. Belokonev |
collection | DOAJ |
description | Introduction. The following article contains the consideration of issues, related to rationale for the technics of jejuno- and colostomies’ application for treatment purposes in patients with acute intestinal obstruction and peritonitis. Currently such methods as Brooke’s ileostomy, double-barrel stoma and Maydl stoma are used in case intestinal stoma application is indicated. However, these types of operations have several disadvantages, resulting in stoma malfunction, exteriorized intestine necrosis and incarceration in a paracolostomal canal. These complications, among others, affect the treatment outcomes and mortality rate in acute intestinal obstruction and peritonitis. Materials and methods. The authors have proposed and applied new variants of trunk-shaped jejuno-, ileo- and colostomy and a new technology of stoma formation on an intestine, fixed in the abdominal cavity. Results. A comparative analysis of applied stomas has revealed a bigger correspondence of trunk-shaped stomas to such technical requirements as simplicity, reliability, efficacy and safety, in comparison with other treatment options, which results in treatment outcomes improvement and favorable prognosis in this complicated category of patients. |
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id | doaj.art-55a6362b5d3e4129b68d66363da96e47 |
institution | Directory Open Access Journal |
issn | 2307-0501 2076-3093 |
language | English |
last_indexed | 2024-04-10T00:58:18Z |
publishDate | 2017-09-01 |
publisher | Bashkir State Medical University |
record_format | Article |
series | Креативная хирургия и онкология |
spelling | doaj.art-55a6362b5d3e4129b68d66363da96e472023-03-13T10:01:08ZengBashkir State Medical UniversityКреативная хирургия и онкология2307-05012076-30932017-09-0173364210.24060/2076-3093-2017-7-3-36-42235RATIONALE FOR THE TECHNICS OF JEJUNO- AND COLOSTOMIES APPLICATION FOR TREATMENT PURPOSES IN PATIENTS WITH ACUTE INTESTINAL OBSTRUCTION AND PERITONITISVladimir I. Belokonev0Andrey G. Zhitlov1Andrey I. Gritsaenko2Yuriy I. Erdeli3Федеральное государственное бюджетное образовательное учреждение высшего образования «Самарский государственный медицинский университет»; Государственное бюджетное учреждение здравоохранения «Самарская городская клиническая больница № 1 им. Н.И. Пирогова».Государственное бюджетное учреждение здравоохранения «Елховская Центральная районная больница».Государственное бюджетное учреждение здравоохранения «Самарская городская клиническая больница № 1 им. Н.И. Пирогова».Федеральное государственное бюджетное образовательное учреждение высшего образования «Самарский государственный медицинский университет».Introduction. The following article contains the consideration of issues, related to rationale for the technics of jejuno- and colostomies’ application for treatment purposes in patients with acute intestinal obstruction and peritonitis. Currently such methods as Brooke’s ileostomy, double-barrel stoma and Maydl stoma are used in case intestinal stoma application is indicated. However, these types of operations have several disadvantages, resulting in stoma malfunction, exteriorized intestine necrosis and incarceration in a paracolostomal canal. These complications, among others, affect the treatment outcomes and mortality rate in acute intestinal obstruction and peritonitis. Materials and methods. The authors have proposed and applied new variants of trunk-shaped jejuno-, ileo- and colostomy and a new technology of stoma formation on an intestine, fixed in the abdominal cavity. Results. A comparative analysis of applied stomas has revealed a bigger correspondence of trunk-shaped stomas to such technical requirements as simplicity, reliability, efficacy and safety, in comparison with other treatment options, which results in treatment outcomes improvement and favorable prognosis in this complicated category of patients.https://www.surgonco.ru/jour/article/view/240острая кишечная непроходимостьперитониткишечные стомыхоботковая еюностомахоботковая илеостомахоботковая колостома |
spellingShingle | Vladimir I. Belokonev Andrey G. Zhitlov Andrey I. Gritsaenko Yuriy I. Erdeli RATIONALE FOR THE TECHNICS OF JEJUNO- AND COLOSTOMIES APPLICATION FOR TREATMENT PURPOSES IN PATIENTS WITH ACUTE INTESTINAL OBSTRUCTION AND PERITONITIS Креативная хирургия и онкология острая кишечная непроходимость перитонит кишечные стомы хоботковая еюностома хоботковая илеостома хоботковая колостома |
title | RATIONALE FOR THE TECHNICS OF JEJUNO- AND COLOSTOMIES APPLICATION FOR TREATMENT PURPOSES IN PATIENTS WITH ACUTE INTESTINAL OBSTRUCTION AND PERITONITIS |
title_full | RATIONALE FOR THE TECHNICS OF JEJUNO- AND COLOSTOMIES APPLICATION FOR TREATMENT PURPOSES IN PATIENTS WITH ACUTE INTESTINAL OBSTRUCTION AND PERITONITIS |
title_fullStr | RATIONALE FOR THE TECHNICS OF JEJUNO- AND COLOSTOMIES APPLICATION FOR TREATMENT PURPOSES IN PATIENTS WITH ACUTE INTESTINAL OBSTRUCTION AND PERITONITIS |
title_full_unstemmed | RATIONALE FOR THE TECHNICS OF JEJUNO- AND COLOSTOMIES APPLICATION FOR TREATMENT PURPOSES IN PATIENTS WITH ACUTE INTESTINAL OBSTRUCTION AND PERITONITIS |
title_short | RATIONALE FOR THE TECHNICS OF JEJUNO- AND COLOSTOMIES APPLICATION FOR TREATMENT PURPOSES IN PATIENTS WITH ACUTE INTESTINAL OBSTRUCTION AND PERITONITIS |
title_sort | rationale for the technics of jejuno and colostomies application for treatment purposes in patients with acute intestinal obstruction and peritonitis |
topic | острая кишечная непроходимость перитонит кишечные стомы хоботковая еюностома хоботковая илеостома хоботковая колостома |
url | https://www.surgonco.ru/jour/article/view/240 |
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