DELAYED COMPRESSION ANASTOMOSIS IN SURGERY FOR COMPLICATED DIVERTICULAR COLON DISEASE
Abstract
Objective. To evaluate the method of forming a delayed compression anastomosis of the colon in complicated diverticular disease (DD).
Material and methods. The object of the study were 49 patients with complicated DB of the large intestine, over the period from 2020 to 2022. There were 15 men (30.6%) and 34 women (69.4%). The mean age of the patients was 62.4±6.0 years, 30 (61.2%) out of 49 patients were of working age (under 60 years old). 31 (63.3%) patients were treated conservatively, 18 (36.7%) patients underwent surgical operations. In 7 out of 15 cases, obstructive resections resulted in delayed compression anastomoses with shape memory implants.
Results. In most cases, complications of DD can be controlled and treated conservatively. With the clinical picture of widespread peritonitis, the scope of research is limited, and preoperative preparation is carried out. Obstructive resections are justified. The method of forming a delayed anastomosis technically allows to prevent the risk of anastomosis failure and simplify the recovery stage.
Conclusion. Delayed compression anastomoses in surgery for complicated DD of the large intestine may be the operation of choice for perforated diverticulitis.
About the Authors
F. Sh. Aliev
ФГБОУ ВО «Тюменский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
R. I. Tamrazov
ФГБОУ ВО «Тюменский государственный медицинский университет» Минздрава России; ГАУЗ Тюменской области «МКМЦ «Медицинский город»
Russian Federation
Russian Federation
V. F. Aliev
ГАУЗ Тюменской области «МКМЦ «Медицинский город»
Russian Federation
Russian Federation
E. N. Desyatov
ФГБОУ ВО «Тюменский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
R. F. Aliyev
ЧУЗ «КБ РЖД-Медицина» города Тюмени
Russian Federation
Russian Federation
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Review
For citations:
Aliev F.Sh., Tamrazov R.I., Aliev V.F., Desyatov E.N., Aliyev R.F. DELAYED COMPRESSION ANASTOMOSIS IN SURGERY FOR COMPLICATED DIVERTICULAR COLON DISEASE. Bashkortostan Medical Journal. 2023;18(3):9-14. (In Russ.)
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