[Indications and contraindications to extraperitoneal closing external intestinal fistulas].

Prognostic factors of recurrent external intestinal fistulas after extraperitoneal closing them were studied in 74 patients operated on in the Sverdlovsk region clinical hospital N1 in 1990-2004. There were no lethal outcomes. Good results were noted in 40 out of 74 (54.05%) patients. Postoperative complications developed in 34 (45.95%) patients, including 21 (28.38%) recurrent intestinal fistulas. Using the methods of mathematical analysis it was found that the recurrent intestinal fistulas resulted from persisting inflammatory alterations in the tissues of the peritoneal and intestinal walls and also from appearing due to operation mechanical injuries of patency of the intestine canal in the places of suturing the fistulas or the initial ones - in the abducent parts of the intestine. The indications and contraindications are proposed concerning the using, rational technical means of extraperitoneal closing the external intestinal fistulas.

[Results of the treatment of external gastric and duodenal fistula]. / Rezul'taty lecheniia naruzhnykh svishchei zheludka i dvenadtsatiperstnoi kishki.

Under consideration were results of treatment and causes of the appearance of gastric and duodenal fistulas in 37 patients. Two patients died (one of them had external gastric fistula, the other had a duodenal fistula). Complex conservative therapy gave positive effects in most cases. Operative treatment was used in patients having external fistulas with purulent abscesses and leakage compartments in the abdominal cavity. Lethality was 5.4%.