RECONSTRUCTIVE SURGERY OF STOMY COMPLICATIONS

Abstract

The steady increase in the incidence of colorectal cancer and other diseases of the colon leads to the rise in the number of operations ending with ostomy. The study analyzes the causes of late stomy complications in 141 patients. 44 (31.2%) of them hadparastomal hernias, 29 (20.6%) prolapse, and 9 (6.4%) patients had a stricture. New methods of surgical correction of complicated stomas have been implemented into practice. Results of these surgical reconstructions were evaluated in the study. Reconstructive procedures for complicated stomas, made in the amount of movement of the stoma to a new location with retroperitoneal transportation, allows to obtain satisfactory results, significantly improve the quality of life with the possibility of using modern care for the ostomy, enabling proper social adaptation of the patient. Development of new methods of surgical correction of stoma complications allows to improve the results of reconstructive operations on the stoma and requires further development of this direction in the framework of the program of surgical rehabilitation of stomy patients.