The results of the original method of colostomy formation in 67 patients with acute large bowel obstruction (ALBO) were studied. All patients underwent sigmoid colon resection with the colostomy formation. In total, postoperative complications of a purulent-inflammatory nature (skin maceration, suppuration of postoperative and paracolostomic wounds, necrosis of colostomy, abscess of the abdominal cavity, and paracolostomal fistula) in both groups were observed in 30 (44.8%) patients. In Group 1 (n=40), with the classical method of colostomy formation, purulent-inflammatory complications were observed in 21 (52.5%) patients, in Group 2 (n=27) with the original method of colostomy formation in 4 (14.8%) patients. Bleeding from colostomy and colostomy prolapse occurred only in Group 1 in 8 (20%) patients. The proposed method of applying a colostomy helps reduce purulent-inflammatory complications by more than 3 times and provides prevention of bleeding and colostomy prolapse.

Surgery is the main method to treat obstructive intestinal obstruction. Stoma formation is desirable in emergency colon surgery. The aim of the study was to compare the results of the newly developed and traditional stoma formation techniques according to the number of wound purulent-inflammatory complications in the early postoperative period in patients with acute intestinal obstruction. Materials and Methods. The authors examined 62 patients with acute intestinal obstruction. The patients were divided into two groups according to the method of stoma formation. The comparison group consisted of 30 patients, who underwent traditional colostomy after obstructive resection of the sigmoid colon (rectosigmoid part of the colon). The main group included 32 patients in whom a stoma was formed using a newly developed method (patent No. 2704477). In patients of the main group, the paracolostomy space was isolated from the abdominal cavity, the preperitoneal and subgaleurotic zones of the paracolostomy space were drained. During the postoperative period local anesthetics and antibacterial drugs were administered through the drain tube. Results. Patients of the comparison group demonstrated more purulent-inflammatory complications of the median postoperative and paracolostomy wounds than those of the control group, 20.2 % (p=0.047) and 23.6 % (p=0.024), respectively. Conclusion. The proposed method of stoma formation helps to reduce wound purulent-inflammatory complications and can be used in the surgical treatment of patients with intestinal obstruction. Keywords: colon cancer, acute intestinal obstruction, postoperative complications, new method of stoma formation. Основным методом лечения обтурационной кишечной непроходимости является оперативное вмешательство. В экстренной хирургии толстого кишечника показано формирование колостомы. Цель исследования – сравнение результатов применения разработанной и традиционной методик наложения колостомы по количеству раневых гнойно-воспалительных осложнений в раннем послеоперационном периоде у больных с острой обтурационной кишечной непроходимостью. Материалы и методы. Клинический материал составили 62 пациента с острой обтурационной кишечной непроходимостью, которые в зависимости от способа формирования колостомы были разделены на две группы. Группу сравнения составили 30 больных, у которых после обструктивной резекции сигмовидной кишки (ректосигмоидного отдела ободочной кишки) выполняли традиционное наложение колостомы. В основную группу были включены 32 пациента, у которых колостома наложена разработанным способом (патент № 2704477). Суть способа состоит в изоляции от брюшной полости параколостомического пространства, дренировании предбрюшинной и подапоневротической зоны параколостомического пространства, введении местных анестетиков, антибактериальных препаратов по дренажу в послеоперационном периоде. Результаты. В группе сравнения гнойно-воспалительных осложнений срединной послеоперационной и параколостомической ран было больше, чем в контрольной группе, на 20,2 % (р=0,047) и 23,6 % (р=0,024) соответственно. Выводы. Предложенный способ формирования колостомы способствует снижению раневых гнойно-воспалительных осложнений и может быть использован в хирургическом лечении больных с обтурационной кишечной непроходимостью. Ключевые слова: рак ободочной кишки, острая обтурационная кишечная непроходимость, послеоперационные осложнения, оригинальный способ формирования колостомы.

The aim of our study was to analyze early postoperative complications in patients with colon cancer complicated by acute malignant bowel obstruction (AMBO). We analyzed surgical outcomes in 90 patients aged 48 years and over (both sexes) with AMBO, who underwent surgical treatment. The results of the study showed that 30 (33.3%) of the 90 patients studied had postoperative complications, of which 6 (6.7%) had two or more combined complications; the mortality rate was 3.3%. The most frequent complications were postoperative suppuration (15.6%) and suppuration of the paracolostomy wound (18.9%). In our opinion, a significant number of postoperative complications are associated with the advanced age of patients (mean age of 65.3±9.8 years), comorbidity in 96.7% of patients, and late diagnosis of colon cancer (stage IV in 25.6% of patients). Development and implementation of more advanced methods of colostomy formation, algorithms for predicting and preventing postoperative complications in patients with AMBO will help reduce the occurrence of complications.