NEW DATA CONCERNING DISRUPTION AND TREATMENT OF COLORECTAL ANASTOMOSIS BREAKDOWN

Autor: V. Yu. Bodyaka, I. D. Postevka, Yu. Ya. Chuprovskaya, I. O. Malyshevsky, B. I. Sсhumko, R. V. Senyutovich, O. I. Ivashchuk
Rok vydání: 2020
Předmět:
Zdroj: Clinical & experimental pathology. 18
ISSN: 1727-4338
DOI: 10.24061/1727-4338.xviii.4.70.2019.19
Popis: The data of the last 10 years concerning frequency of rectal anastomosis dissociation arepresented. It ranged from 1% to 19%, on average 4%. The frequency of anastomosis isindependent on surgical technique. It is possible to preserve fistula in the treatment ofcolorectal anastomosis breakdown.Objective was to study the frequency of rectal anastomoses breakdown in different waysof their implementation, peculiarities of the surgical treatment approach.Conclusions. Disruption of colorectal anastomoses remains an urgent problem of modernoncoproctology. According to the latest data complications are observed in about 4% ofcases and do not depend on the suture - manual or mechanical. In recent years, themethods of sparing treatment of rectal anastomoses breakdown with their preservationare being developed. However, in the presence of peritonitis with faecal masses in theabdominal cavity, it is better to remove anastomosis. Microinvasive methods of surgery may be perspective.
Databáze: OpenAIRE