POSSIBILITIES OF THE ULTRASOUND ESTIMATION OF THE DISCONNECTED INTESTINE READINESS FOR INTESTINE CONTINUITY RESTORATION SURGERY

Aim. To improve the results of the evaluation of the disconnected intestine readiness for the intestine continuity restoration surgery.

Materials and methods. The study focused on 79 patients of 19 - 77 years old, which received reconstructive-regenerative surgery with end colostomy at the Clinic of Emergency care of Dushanbe. The number of men was 52 (65,8%) and women were 27 (34,2%). The main group included 26 patients while the control group included 53 patients. The diagnosis was based on laboratory blood tests, ultrasound, rectoromanoscopy, fistulography, proctography, pathohistological tests and video laparoscopy.

Results. Ultrasound examination of the main group patients showed earlier restoration of peristaltic and enlargement of its diameter. On the 5-8 days till two times per minute, in 12-15 days till three times per minute, while the average diameter of the intestine increased up to 2,3 cm. The intestine diameter of patients of the comparison group in 12-15 days increased till two times per minute, with an average diameter in[1]creased up to 1,6 cm. In 17 (32,1%) cases patients of the control group had severe intestinal paresis and in 6 (11,3%) cases anastomosis invalidity. The symptoms of severe intestinal paresis were observed only in 2 (7,7%) cases of the main group patients. However, anastomosis invalidity was observed only in 1 (3,8%) case.

 Conclusion. Ultrasonic evaluation of the results of preoperative preparation of the disconnected intestines and the level of its readiness for reconstructive-regenerative operation at patients with a colostomy is an extremely informative method that helps to reduce the frequency of postoperative pyo-inflammatory complications.

1. Ardatskaya M. D., Kitchieva G. M., Achkasov S. I. Rol mikroflory v razvitii kolita otklyuchennykh otdelov tolstoy kishki [The role of microflora in the development of the colitis of disconnected parts of the colon]. Klinicheskiy vestnik – Clinical herald, 2011, No. 3, pp. 48-54.

2. Bagishev R. A. Krivigina E. V., Zhigaev G. F. Di versionnyy kolit [Subversive Colitis]. Sibirskiy meditsinskiy zhurnal – Siberian medical journal, 2014, No. 5, pp. 119-121.

3. Vorobev G. I., Zhuchenko A. P., Filon A. F. Kolit otklyuchennoy tolstoy kishki Colitis of the disconnected colon. Novosti koloproktologii - News of Coloproctology, 2008, No. 5, pp. 65-70.

4. Mitkov V. V. Vliyanie podgotovki pozhilogo patsienta k provedeniyu ultrazvukovogo issledovaniya or ganov bryushnoy polosti na kachestvo diagnostiki [The effect of training an elderly patient for the ultrasound exam ination of abdominal organs on the quality of diagnosis]. Gastroenterologiya. Prilozhenie k zhurnalu Consilium Medi cum - Gastroenterology. The Supplement to the journal Con silium Medicum, 2012, No. 2, pp. 10-11.

5. Sultonov Sh. R., Pulatov Kh. K., Shernazarov I. B., Rakhmonov Sh. D., Dododzhonov Yu. T., Atoev I. K., Guriev Kh. D. Lechenie peristomalnykh oslozhneniy u de tey s naruzhnymi iskusstvennymi tonkokishechnymi svishchami [Treatment of peristomal complications in chil dren with external artificial intestinal fistulas]. Vestnik Avitsenny – Herald of Avicenna, 2017, No. 3, pp. 313-319.