[Long-term results of formation of smooth muscle sphincter in the perineal colostomy area in patients after rectal extirpation].
The authors discuss an original method for formation of a smooth-muscle cuff from the wall of a pulled-through colon in the region of a perineal colostoma. It was applied in 89 patients who had undergone extirpation of the rectum for malignant neoplasms. The smooth-muscle sphincter was formed during removal of the rectum in 72 patients and no earlier than 2 years after the extirpation in 17 patients. Inflammatory complications developed in the region of the perineal colostoa in the early postoperative period in 13.5% of cases. They were due to necrosis of the distal part of the pulled-through intestine in 3.4% of cases. There were no fatal outcomes. The late-term results were studied in follow-up periods of up to 7.5 years. Satisfactory functional results were produced in 83% of the patients. Physiological examination showed the presence of a functioning sphincter in the region of the perineal colostoma.
Odariuk
T S
TS
Kapuller
L L
LL
Podmarenkova
L F
LF
Tsar'kov
P V
PV
Frolov
S A
SA
D000328:Adult; D003125:Colostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009130:Muscle, Smooth / Q000601:surgery*; D010502:Perineum / Q000601:surgery; D011182:Postoperative Care; D012004:Rectal Neoplasms / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods; D013997:Time Factors; D016896:Treatment Outcome
Otdalennye rezul'taty formirovaniia gladkomyshechnogo zhoma v oblasti promezhnostnoĭ kolostomy u bol'nykh posle ékstirpatsii priamoĭ kishki.