Short bowel syndrome is a severe, rare malabsorption disorder, often resulting from extensive surgical resections of the small intestine. This condition is often accompanied by pronounced violations of the nutritional status and fluid and electrolyte balance, which are poorly amenable to drug correction. In this article, we describe three clinical cases of patients suffering from this pathology where it was possible to achieve pronounced clinical improvement through reconstructive surgery.

At the moment, there is no consensus on such important issues for the practicing physician as the choice of the type of abdominoperineal resection and the optimal way to close the perineal defect. The review presents the data on the incidence of perineal wound complications after the use of various types of rectal extirpation and various types of perineal defect closure. The inconsistency of the data makes it necessary to conduct further randomized studies.