Abstract :

The study included 127 patients with colonic stoma, the causes of which were urgent conditions of non – tumor origin, where it became necessary to perform Hartmann operations (2001–2020). According to the purpose and objectives of the study, the authors conventionally divided into two groups: the control group, which included 73 (57.5%) patients who were subject to retrospective analysis, and the main group, which included 54 (42.5%) patients, where surgical tactics and techniques of operations were optimized. An analysis of the results of colon restoration in the main group showed that a certain decrease in the overall frequency of complications was achieved – 18.5% (in the control group – 38.3%), as well as complications associated with the formation of anastomoses – 7.4% (in the control group – 12, 3%).

Thus, the optimization of surgical tactics in reconstructive and restorative operations and the widespread use of invaginated methods of bell anastomoses in patients with colonic stomas after Hartmann’s operation made it possible to improve the results of surgical treatment.

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Keywords :

Hartmann operation, Interintestinal invagination anastomosis, Intestinal stoma, Reconstructive and restorative operations.

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