[Restoration of the colon continuity in patients with ascendostomy after Gartmann operation with rectal supraanal resection].
Results of performance of reconstructive-restoration operation in 7 patients with ascendostomy were analyzed. Of them in 4 as the first stage supraanal rectal resection was performed and in 3 - Gartmann operation. There was proposed the method for colonic continuity restoration after Gartmann operation performance, in which pancreatic stump is mobilized along its posterior wall, securing nutrient vessels up to highest point and lower surface of the pelvic peritoneum sheet. The pelvic peritoneal sheet is dissected from the peritoneal cavity side under guidance of surgeon hand and the rectoscope tube, introduced into rectal stump. During performance of second stage in all the patients massive adhesions were revealed. Postoperative complications were absent.
Giul'mamedov
F I
FI
Miminoshvili
O I
OI
Giul'mamedov
P F
PF
Polunin
G E
GE
Shalamov
V I
VI
Danilenko
O N
ON
Plakhotnikov
I A
IA
D000328:Adult; D044682:Colon, Ascending / Q000000981:diagnostic imaging / Q000601:surgery*; D003110:Colonic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D023881:Colonography, Computed Tomographic; D003125:Colostomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome