[Surgical methods in the treatment of colonic obstruction].
The treatment of 365 patients with carcinoma of the colon complicated by intestinal obstruction is analysed. In 30.9% of patients the signs of acute obstruction were relieved by decompression therapy including a method suggested by the authors. The other patients were subjected to an urgent and even emergency operation. Two group of patients are compared. I the first group the traditional surgical tactics were used, in the second group new methods for decompression of the large intestine were applied both before and during the operation: endolymphatic and intravenous infusion of antibiotics, formation of double-channel colostomy of the type of "partial anastomosis". With such changed tactics the number of postoperative complications and fatal outcomes reduced from 38.7 and 20.4% to 12.1 and 6.4%, respectively. The percentage of patients subjected to a radical operation increased from 69.3 to 85.7%.
Vorobev
G I
GI
Totikov
V Z
VZ
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002908:Chronic Disease; D003108:Colonic Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D003110:Colonic Neoplasms / Q000150:complications; D003113:Colonoscopy; D003125:Colostomy; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D011292:Premedication
D000900:Anti-Bacterial Agents