Abstract
The study refers to medicine, namely to surgery: endovideosurgery. Colon pathology is one of the most urgent and socially significant problems of modern health care, because. leads to a decrease in the working capacity of the population employed in production. Minimally invasive colon surgery has a big advantage: faster recovery, shorter hospital stays and better cosmetic results, faster return of patients to work. The purpose: to improve the results of endovideosurgical treatment of patients with chronic colostasis and dolichosigma. Practical significance: improving the quality of life by developing selection criteria for performing the developed method of operation and its implementation in the complex treatment of colostasis in dolichosigmoid. The results of the proposed endovideosurgical method for the treatment of chronic constipation in dolichosigmoid: the number of postoperative patients referred for MSEC decreased by 2 times; the average stay of patients in the clinic was 8-9 days, the activation of patients is carried out on the 2nd day after the operation; control after a month: normalization of stool up to 1 time per day (before the operation, delays reached up to a month), improvement in general well-being, improvement in memory, attention, absence of signs of chronic fatigue, improvement in general appearance (hair shine, improvement in color and skin condition); significant improvement in quality of life; control after a year: complete restoration of the passage of intestinal contents. Weight gain by 10-12 +/- 0.7 kg. Indicators of clinical and laboratory researchers are within the normal range. Full social rehabilitation. Conclusions. The authors proposed a new method of surgical treatment of chronic colostasis in patients with dolichosigma. The results of the scientific study can be used in the surgical treatment of chronic constipation with dolichosigmoid (dolichocolon) by the laparoscopic method. In the postoperative period, starting from the 3rd day, the restoration of the colon microflora is noted. The dynamics of the immunological status indicates a positive effect of the restoration of the microflora and physiology of the colon in the postoperative period.
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