METHOD OF SURGICAL TREATMENT OF TRUE EVENTRATION OF COLOSTOMA-BEARING LARGE INTESTINE

摘要

FIELD: medicine. ^ SUBSTANCE: invention relates to surgery and can be applied for surgical treatment of true eventration of colostoma-bearing large intestine. Colostoma lumen is tamponned with gauze tampon. Size of anterior abdominal wall defect is reduced by application of retension suture on aponeurosis edges. On eventrated intestine loops and external surface of aponeurosis edges applied is synthetic mesh, whose surface area equals area of surface of anterior abdominal wall tissues defect, through which eventration occurred, and released aponeurosis edges. Mesh is sewn on wound perimetre to aponeurosis edges by two-tree rows of sutures with distance between rows 1.5-2.0 cm. Retension suture is removed. In the mesh in projection of tamponned colostoma lumen hole which in size is 2.0-2.5 cm smaller than colostoma lumen diametre, is cut out. Through obtained hole under mesh on intestine loops on the left and on the right of colostoma one plate of 1.0-1.5 cm thick foam rubber sponges soaked with furacillin ointment is passed. Cutaneous wound edges are sewn with uninterrupted tightening sutures in lacing type until their admissible tightening in its upper and lower angles towards colostoma. Onto reduced size of wound around colostoma gauze napkins with furacillin ointment are placed. Gauze tampon is removed from colostoma lumen and colostomy bag is applied on it. ^ EFFECT: method allows to reduce risk of eventration recurrence, reduce risk of peritonitis development.