grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2016-175-6-52-55grekov-424Research ArticleНОВЫЕ И РАЦИОНАЛИЗАТОРСКИЕ ПРЕДЛОЖЕНИЯNEW AND RATIONAL SUGGESTIONSМЕТОД «СКРЫТОЙ КОЛОСТОМИИ» ПРИ НИЗКИХ ПЕРЕДНИХ РЕЗЕКЦИЯХ ПРЯМОЙ КИШКИMETHOD OF «HIDDEN COLOSTOMY» IN LOW ANTERIOR RESECTIONS OF RECTUMКаливоЭ. А.KalivoE. A.kalivo@mail.ruМанихасГ. М.ManikhasG. M.goronkod@zdrav.spb.ruХаневичМ. Д.KhanevichM. D.noemail@neicon.ruФридманМ. Х.FridmanM. Kh.mfridman@mail.ruХрыковГ. Н.KhrykovG. N.ghrykov@mail.ruГородской клинический онкологический диспансерРоссияMunicipal clinical oncologic dispensaryRussian FederationВоенно-медицинская академия им. С. М. КироваРоссияS. M. Kirov Military Medical AcademyRussian Federation20162812201617565255Copyright © Каливо Э.А., Манихас Г.М., Ханевич М.Д., Фридман М.Х., Хрыков Г.Н., 20162016Каливо Э.А., Манихас Г.М., Ханевич М.Д., Фридман М.Х., Хрыков Г.Н.Kalivo E.A., Manikhas G.M., Khanevich M.D., Fridman M.K., Khrykov G.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/424

The authors present their experience, methodology and advantages of the method of «hidden colostomy» in treatment of anastomotic leakage after low anterior resection of rectum. The operations using the method of «hidden colostomy» were performed on 67 patients. All the patients underwent the low anterior resection of rectum operation concerning cancer with anastomosis formation at the distance of 3-8 cm from anus. The leakage of rectal anastomosis was revealed in 6 (8,9%) patients. A delayed double-barrel transverse stoma using preventive turnpike was formed in surgical dressing room without typical relaparotomy according to described method. Continuity of large intestine was restored in all patients during 2 months after operation. The method of «hidden colostomy» allowed doctors to avoid formation of vain protective intestinal stoma. This method helped to treat patients in a very simple and effective way in case of leakage of colorectal anastomosis.

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The authors declare that there are no conflicts of interest present.