title: [Colostoma with reflex evacuation--a new approach in rehabilitation of stoma patients].
abstract: Involuntary evacuation of the stoma is the problem of social rehabilitation of stomed patients. In 17 patients during formation of colostoma reservoir-holding mechanism was created. Strain of parietal peritoneum led to subjective feelings predicting colostoma evacuation that were seen 10-20 min before defecation and presented as heaviness in projection of external end of stoma in 15 (88.2%) or elements of intestinal colic in 2 (11.8%) patients. This permitted 9 patients to control colostoma evacuation. Five (29.4%) patients demonstrated ability to control defecation for 10-15 min with tension of the muscles of the anterior abdominal wall.
mesh_terms: D015179:Colorectal Neoplasms / Q000503:physiopathology / Q000601:surgery; D003125:Colostomy / Q000379:methods* / Q000523:psychology / Q000534:rehabilitation*; D005242:Fecal Incontinence / Q000503:physiopathology*; D006801:Humans; D011788:Quality of Life; D012018:Reflex / Q000502:physiology
vernacular_title: Kolostoma s reflektornym oporozhneniem--novyĭ podkhod v reabilitatsii bol'nykh.