HARDWARE-CONTROLLED INTRA- AND POSTOPERATIVE DECOMPRESSION AND LAVAGE OF THE COLON IN SURGICAL TREATMENT OF TUMOR OBSTRUCTION

Abstract

The article analyzed the results of surgical treatment of obturative tumorous obstruction of the left colon in 398 patients of different age categories. The authors developed and applied the method of retrograde lavage and sanation of the colon. A new model of vacuum aspiration-wash device was designed. An application of the method of intraoperative lavage and sanation of the colon allowed performance of primary-radical operations in 149 (77,6%) patients out of 192 patients of the main group with one-stage reestablishment of colon continuity in 68 (35,4%) cases. The rate of pyoinflammatory complications were reduced from 29,4 to 19,2% due to the developed strategy of surgical treatment. It was stated, that the immediate results of surgical treatment of obturative tumorous obstruction of the left colon were improved due to the optimization of methods of intra- and postoperative lavage and sanation of the colon by upgrading of technical equipment, the wide application of obstructive versions of radical operations in combination with multicomponent and pathogenetically based intensive care. This therapy was directed to adequate correction of metabolic disorders in homeostatic system.

Keywords

• colon cancer
• obturative tumorous obstruction
• surgical treatment
• intraoperative decompression and colon lavage
• lethality