title: [Long-term results of formation of smooth muscle sphincter in the perineal colostomy area in patients after rectal extirpation].
abstract: 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.
authors.forename: T S
authors.initials: TS
authors.lastname: Odariuk
authors.forename: L L
authors.initials: LL
authors.lastname: Kapuller
authors.forename: L F
authors.initials: LF
authors.lastname: Podmarenkova
authors.forename: P V
authors.initials: PV
authors.lastname: Tsar'kov
authors.forename: S A
authors.initials: SA
authors.lastname: Frolov
mesh_terms: 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
vernacular_title: Otdalennye rezul'taty formirovaniia gladkomyshechnogo zhoma v oblasti promezhnostnoĭ kolostomy u bol'nykh posle ékstirpatsii priamoĭ kishki.