[Preventive Turnbull ileostomy].
Turnbull soprovozhdaetsia khoroshimi rezul'tatami. Preventive Turnbull ileostomy was made in 28 patients. There were 19 male and 9 female patients aged from 18 to 77 years (mean age -- 46 years). Fifteen patients underwent reconstructive proctocolectomy with anastomosis between anal canal and J-shape ileac reservoir. Ten of them had familial polyposis, 5 patients had ulcerative colitis 3 had rectal cancer. Total mesorectumectomy with anastomosis between anal canal and J-shape colic reservoir was performed in 7 patients with cancer of middle and lower part of the rectum. Partial mesorectumectomy was performed in 4 patients with cancer of upper part of the rectum. Low anterior resection of the rectum with anastomosis between anal canal and J-shape colic reservoir was performed in 2 patients with villous adenoma. There were no specific complications. Following ileostomy closure was carried out in 25 of 28 patients. Wound infection was seen in 1 patient. It is concluded that preventive Turnbull ileostomy performed after lower colorectal, coloanal and ileonal anastomosis produces good results.
Samalavichius
N E
NE
D000293:Adolescent; D000328:Adult; D000368:Aged; D003111:Colonic Polyps / Q000601:surgery; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged