Late stomal complications and their surgical correction

Тимербулатов, М. В.; Вилевич, Тимербулатов Махмуд; Ибатуллин, А. А.; Альберович, Ибатуллин Артур; Gaynutdinov, F M; Мингазович, Гайнутдинов Фазыл; Kulyapin, A. V.; Владиславович, Куляпин Андрей; Аитова, Л. Р.; Ринатовна, Аитова Лилия; Kyzylbaeva, A I; Исламовна, Кызылбаева Альбина; Abdeev, A A; Асхатович, Абдеев Айрат; Fatkhullin, A S; Салаватович, Фатхуллин Азамат

doi:10.17816/kmj1552

Cited by 3 publications

(2 citation statements)

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“…При этом сложность в принятии решения состоит в том, что для устранения свища необходимо иметь четкое представление о расположении и проходимости дистального участка кишки, с которым будет восстановлена непрерывность желудочно-кишечного тракта [5]. При этом пластическое закрытие дефекта в брюшной стенке, обусловленного грыжей, нежелательно из-за наличия источника инфицирования тканей -свища [6,7]. Поэтому каждый вариант лечения пациента должен быть обоснован и целесообразен [8,9]…”

Section: Discussionunclassified

Treatment Methods of Patients With Postoperative Ventral Hernias and Created Intestinal Fistulas

Belokonev¹,

Pushkin²,

Kovaleva³

et al. 2022

Novosti Khirurgii

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Objective. To substantiate the methods of surgical treatment in patients with postoperative ventral hernias and created intestinal fistulas based on the comparison of the outcomes of one-stage and two-stage operations. Methods. The analysis of patients (n=40) with postoperative ventral hernias and created intestinal fistulas imposed for therapeutic purposes or created as the treatment outcomes of uncreated fistulas has been performed. Jejunal fistulas were present in 7 patients (17.5%), ileal fistulas in 18 (45%), and colonic fistulas in 15 (37.5%) patients. The patients of group 1 (n=15, 37.5% ) underwent the two-stage operations. First, the fistula was closed with the access to the site of its location, and then after 3-6 months, the excision of hernia was performed. In patients of group 2 (n=25, 62.5%) fistula was simultaneously removed and hernia was excised. The «tension-free»techniquesinhernia orifice repair in those groups was performed. The outcomes were evaluated by the number of local and general complications in the period from 10 days to 6 months. Results. Wound complications after the first operation developed in 2 (13.3%) patients in the 1<sup>st</sup> group. There were no complications after the second stage of hernioplasty. In group 2, wound complications developed in 3 (12%) patients. There was no anastomotic failure in the groups. In the long terms, good results were obtained in 15 patients in group 1 and in 25 patients in group 2. The use of anterior prosthetic «tension-free»techniques of plastic surgery by the combined methods in one-stage allows obtaining results comparable to two-stage operations. Conclusion. In patients with hernias and intestinal fistulas, the method of treatment in one-stage or two-stages depends on the possibility of the gastrointestinal restoring patency from minimally invasive access in the site of the fistula location. What this paper adds For the first time, the indications for performing operations with postoperative ventral hernias and intestinal fistulas in one-stage and two-stage operations have been substantiated. Treatment option for patients with hernias and intestinal fistulas has been found to depend on the possibility of the gastrointestinal patency restoring from minimally invasive access in the site of the fistula location.

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Section: Discussionunclassified

Treatment Methods of Patients With Postoperative Ventral Hernias and Created Intestinal Fistulas

Belokonev¹,

Pushkin²,

Kovaleva³

et al. 2022

Novosti Khirurgii

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“…Among the major causes of parastomal herniation, are technical errors in the process of stoma creation [31][32][33]. Hence, the problem can be solved by improving the stoma-related technique so to prevent the hernia formation [34].…”

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Current Technologies for the Prevention of Parastomal Herniation (Review)

Yanishev¹,

Базаев²,

Kokobelyan³

et al. 2018

Sovrem Tehnol Med

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In today's colorectal surgery, the number of ostomy patients is steadily increasing. The creation of a stoma often leads to the development of a parastomal hernia, which, in turn, can cause serious complications and prevent full rehabilitation of the patient. Most often, parastomal hernias are formed within two years after surgery, but the possibility of herniation still exists throughout the entire postoperative period. In the present review, we describe the up-to-date methods used to prevent parastomal hernias as well as the results of clinical studies and meta-analyses. When discussing the surgical techniques, emphasis is put on their safety, efficacy and economic rationale.

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A modern view on the prevention of parastomal complications in ostomy patients

Dadaev,

Zurnadzh’yants,

Kchibekov

et al. 2024

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Recently, due to the increase in intestinal diseases, there has been a tendency to increase the number of stomatized patients. It has been statistically proven that the elimination of intestinal stomas is fraught with the development of inflammatory phenomena in the area of the removed stoma in the early postoperative period, leading to the development of parastomal abscesses and phlegmon, which in turn are risk factors for the formation of parastomal hernias in the long-term postoperative period. A parastomal hernia makes it difficult to care for the stoma, thereby reducing the quality of life. The presented work provides an overview of the literature data on various methods of preventing the formation of parastomal hernias. In addition, methods for closing a stomal wound during the elimination of intestinal stomas are presented in order to prevent the development of complications after reconstructive operations.

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Late stomal complications and their surgical correction

Cited by 3 publications

References 0 publications

Treatment Methods of Patients With Postoperative Ventral Hernias and Created Intestinal Fistulas

Treatment Methods of Patients With Postoperative Ventral Hernias and Created Intestinal Fistulas

Current Technologies for the Prevention of Parastomal Herniation (Review)

A modern view on the prevention of parastomal complications in ostomy patients

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