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  • 23 -4 (42) 2022 — Botirov Zhakhongir Akramjon ugli — RECONSTRUCTIVE AND RECONSTRUCTIVE INTERVENTIONS AFTER HARTMANN SURGERY: PROBLEMS AND SOLUTIONS

23 -4 (42) 2022 — Botirov Zhakhongir Akramjon ugli — RECONSTRUCTIVE AND RECONSTRUCTIVE INTERVENTIONS AFTER HARTMANN SURGERY: PROBLEMS AND SOLUTIONS

RECONSTRUCTIVE AND RECONSTRUCTIVE INTERVENTIONS AFTER HARTMANN SURGERY: PROBLEMS AND SOLUTIONS

Botirov Zhakhongir Akramjon ugli Department of Surgery and Urology

Andijan State Medical Institute

Resume

In this article, the results of reconstructive operations to restore natural intestinal continuity in patients who had previously undergone Hartmann surgery were studied. Restoring the continuity of the colon after a Hartmann-type operation is a complex surgical intervention.

The method of restoring intestinal continuity is determined individually in each case, depending on the length of the rectal stump, diastasis, the severity of cicatricial-adhesive processes, as well as the experience of the surgeon. The results of surgical treatment of 92 patients who underwent reconstructive and reconstructive operations were analyzed.

The diseases for which resection was performed with the imposition of a colostomy are distributed as follows: cancer of the sigmoid and rectum, their traumatic ruptures; inversions; perforations; sigma diverticulosis; intestinal necrosis caused by venous thrombosis. The timing of the restoration of continuity depends on the reasons that led to the resection and the imposition of the stoma.

With malignant tumors – not earlier than 8-9 months – 1 year. It is better to put the end of the anastomosis in the side – terminolateral, using median laparotomy.

Keywords: Hartmann’s operation, restoration of accommodation, colon, colostomy.

First page

98

Last page

101

For citation: Botirov Zhakhongir Akramjon ugli RECONSTRUCTIVE AND RECONSTRUCTIVE INTERVENTIONS AFTER HARTMANN SURGERY: PROBLEMS AND SOLUTIONS //New Day in Medicine 4(42)2022 98-101 https://clck.ru/goxbY

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