[Debatable and unsolved questions of surgical tactics in perforation of the colon].
An analysis of operative treatment of 86 patients from 24 to 85 years of age with perforation of the colon of different genesis was made. The differential approach to decision on the surgical strategy allows the author to make a conclusion that a radical operation such as resection of the injured segment of the colon with the colostomy has the best immediate result independent of the cause of the perforation. Palliative operations of suturing the perforation and colostomy or bringing the injured parts of the colon onto the abdominal wall are followed by frequent pyo-septic complications and high rate of lethality.
Aliev
S A
SA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003106:Colon / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care