Adhesive process in the abdominal cavity in patients with end colostomies and its influence on the reestablishment of the large intestine continuity
Matveev, I.A.; Matveev, A.I.; Gibert, B.K.; Borodin, N.A.
Vestnik Khirurgii Imeni I. I. Grekova 169(5): 52-55
2010
ISSN/ISBN: 0042-4625 PMID: 21137261 Document Number: 640459
Under analyses there were reparative operations on 79 patients with end colostomies performed using medial access in 42 patients and parastomal access in 37 patients. The investigation of prevalence of the adhesive process in 61 patients has shown that marked adhesions were formed in the area of the medial scar in 41 (67.2%) patients, the stump of the suppressed gut--in 31 (50.9%) patients and colostomy--in 27 (44.3%) Reestablishment of intestine continuity from the parastomal access allowed avoidance of adhesions in the zone of the medial postoperative scar which shortened the time of operation and decreased the level of intra- and postoperative complications.