New reconstructive surgery for radical surgical treatment of colon non-tumorous diseases

Abstract

The aim — to develop new methods of reconstructive operations after radical surgery of colon non­neoplastic diseases in patients with atypical small intestine and superior mesenteric artery anatomy, as well as atypical anatomical relationship between the ileal segments and the demucosal surgical anal canal, in the presence of irritable bowel syndrome.Materials and methods. New methods of reconstructive surgery after radical surgical treatment of patients with non­neoplastic diseases of the large intestine (small bowel reservoir, ileoendoanal anastomosis method, methods of mobilization and dislocation of the small bowel graft into the pelvic cavity) have been developed. These techniques were used in 32 patients from 2008 to 2017.Results and discussion. Postoperative complications due to the implementation of reconstructive­restoration stage of surgical intervention arose in 3 (9.4 %) operated patients. Favorable functional results were obtained, in particular, the absence of diarrhea syndrome and anal incontinence syndrome in 28 (93.3 %) patients. The presence of postcollectomic syndrome I (mild) degree in 26 (86.7 %) operated patients, II (moderate) degree — in 4 (13.3 %).Conclusions. Developed methods of new reconstructive operations in the radical surgical treatment of patients with non­tumor colon diseases contributed to the uncomplicated flow of healing ileo­endoanal anastomosis, the postoperative complications frequency reduction, physiological retardation of the small intestine contents, intestinal digestion improvement, absorption, and anal hold.