[Prevention of incompetence of sigmoidorectal anastomosis after anterior resection of the rectum in cancer].
The results of surgery in 11 patients with rectal cancer are analysed. The anterior rectal resection was performed in all cases, in 38 cases-the lower resection was performed. The use of decompressive colostomy as a method to prevent complications, caused by anastomotic incompetence is recommended. The colostomy was used in 51.3% cases. Besides colostomy, in 27 (26.2%) patients the antiseptic connection elements impregnated with kanamycin, dioxidine and cephamezine were used to prevent sigmoido-rectal anastomotic incompetence. The rate of anastomotic incompetence was 12.6% (14 patients). There were no mortality. The use of decompressive colostomy in operations on transverse colon especially in cases of lower rectal resection and in patients with partial colon ileus is advocated. The use of antiseptic connective elements is an efficient method to prevent anastomotic incompetence.
Briusov
P G
PG
Inoiatov
I M
IM
Perekhodov
S N
SN
D000368:Aged; D000714:Anastomosis, Surgical; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002437:Cefazolin / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D012809:Colon, Sigmoid / Q000601:surgery*; D003125:Colostomy; D005260:Female; D006801:Humans; D007612:Kanamycin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D011292:Premedication; D011810:Quinoxalines / Q000627:therapeutic use; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D002511:Cephalosporins; D011810:Quinoxalines; C001077:dioxidine; D007612:Kanamycin; D002437:Cefazolin
Profilaktika nesostoiatel'nosti sigmorektal'nykh anastomozov posle peredneĭ rezektsii priamoĭ kishki po povodu raka.