SELECTIVE ANGIOPROTECTIVE IMPACT USING TOPICAL COLLAGEN ON UNFORMED DUODENAL AND HIGH JEJUNAL FISTULAS

Abstract

Unformed duodenal and high intestinal fistulas represent a major problem in abdominal surgery. Surgical interventions in these patients are mainly carried out urgently because large losses of intestinal content through fistulae lead to the weakening and exhaustion of patients.The article presents long-term experience of surgical treatment of patients with duodenal and high unformed intestinal fistulas using the original integrated approach in the main group of patients. Local application of collagen against selective introduction of angioprotectors enabled to reduce the frequency of intestinal sutures insolvency after fistula closure, and in cases of its occurrence, it was mostly partial. Thus, the developed technique made it possible to reduce the frequency of insolvency of intestinal sutures, the number of newly formed intestinal fistulas and purulent-septic complications.