Factors of Invaginated Anostomoses Healing
Introduction. In the process of formation and development of abdominal surgery searches for an optimal method of recovery of the intestinal tube after resection constantly ongoing. Including the question of the type of intestinal suture and the factors preventing anastomotic leakage is still controversial.
The Purpose of the Study. In our work, we set a goal — to examine the state of healing submersible anastomoses.
Materials and Methods. Purposeful nature of the infringement motor-evacuation function of gastrointestinal tract studied in 48 patients, which was superimposed colonic internal anastomosis (31 patients) or immersion colorectal (17 patients). At the same time take into account the appearance of intestinal bowel sounds and flatus starting dates and recovery chair. First signs of intestinal motility revealed in the first postoperative day in 4 patients (8.3 %), on the second — in 32 patients (66.7 %) and on the third day in the remaining 12 patients (25.0 %).
Results and Discussion. Formation internal anastomosis establishes intussusceptum, although on a limited (3.5–4 cm) length. Therefore, a possible narrowing of the intestine caused the need to assess anastomosis for its functional fitness. For this purpose, the study used X-ray method. Passage of contrasting markers also appeared clear: adopted granules with an hour interval moved by intestinal loops separately from each other and only after 8–15 hours appears to be grouped in the left half of the colon. 17 patients performed a visual assessment of the nature of healing colorectal anastomosis (the probe). From the second day after surgery at sigmoidoscopy detected swelling sigma plot, swelling increased to the second — the third day and was distributed by 1.5–2 cm from the ligature. In our study, four cases had complications that required reoperation.
Conclusions. Thus, despite the small number of observations at imposing internal anastomosis main cause complications arise due to technical defects of the intervention, and in the formation of colorectal anastomosis immersion — in ischemic disorders. Submersible anastomoses on our data to 70 days after their forming fully functional with a complete healing process and morphological transformation process serosa of the colon.
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