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Klin Khir ; (8): 20-3, 2013 Aug.
Article in Russian | MEDLINE | ID: mdl-24171283

ABSTRACT

Results of treatment of 102 patients for a variety of injuries and surgical diseases of the colon, who performed the intervention, culminating in the formation of the external colonic fistula (ECF) were analyzed. After reconstructive and restorative surgery for ECF, all patients were alive. Postoperative complications occurred in 15 (20.8%) patients, including intraabdominale--in 2 (2.8%). The optimal timing of surgical rehabilitation and volume reduction or reconstructive surgery in patients over the ECF should be determined strictly individual basis, taking into account the severity and nature of the illness or injury, which required imposition of an stoma, the severity of postoperative scar and local inflammatory processes in the abdominal cavity, in laparotomic wound and fistula. Performing simultaneous operations in the surgical rehabilitation of patients with ECF practically does not increase the risk of postoperative complications.


Subject(s)
Colon/surgery , Colonic Neoplasms/surgery , Colostomy/rehabilitation , Diverticulum, Colon/surgery , Rectal Fistula/surgery , Adult , Aged , Aged, 80 and over , Colon/injuries , Colon/pathology , Colonic Neoplasms/pathology , Colonic Neoplasms/rehabilitation , Diverticulum, Colon/pathology , Diverticulum, Colon/rehabilitation , Female , Hospitals, District , Humans , Male , Middle Aged , Postoperative Complications/prevention & control , Rectal Fistula/pathology , Rectal Fistula/rehabilitation , Time Factors , Ukraine
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