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[Restoration of the colon continuity in patients with ascendostomy after Gartmann operation with rectal supraanal resection].

Authors :
Giul'mamedov FI
Miminoshvili OI
Giul'mamedov PF
Polunin GE
Shalamov VI
Danilenko ON
Plakhotnikov IA
Source :
Klinichna khirurhiia [Klin Khir] 2005 Oct (10), pp. 5-8.
Publication Year :
2005

Abstract

Results of performance of reconstructive-restoration operation in 7 patients with ascendostomy were analyzed. Of them in 4 as the first stage supraanal rectal resection was performed and in 3 - Gartmann operation. There was proposed the method for colonic continuity restoration after Gartmann operation performance, in which pancreatic stump is mobilized along its posterior wall, securing nutrient vessels up to highest point and lower surface of the pelvic peritoneum sheet. The pelvic peritoneal sheet is dissected from the peritoneal cavity side under guidance of surgeon hand and the rectoscope tube, introduced into rectal stump. During performance of second stage in all the patients massive adhesions were revealed. Postoperative complications were absent.

Details

Language :
Russian
ISSN :
0023-2130
Issue :
10
Database :
MEDLINE
Journal :
Klinichna khirurhiia
Publication Type :
Academic Journal
Accession number :
16509075