SU1567194A1 - Method of preventing postoperation complications of patients with large intestine inflammation after operation with ileostoma application - Google Patents

Abstract

The invention relates to medicine, in particular to surgery. The goal is to prevent ileostomy edema in patients operated on for inflammatory diseases of the colon. For this, endolymphatic administration of aminoglycoside antibiotics is carried out in a single dose of 4-5 ml of solution before and after the operation. This allows 93% of patients to have normal ileostomy, while traditional methods of managing patients in 37% of cases develop stoma edema with impaired function. The method reduces the time needed to restore intestinal function in the postoperative period.

Description

The invention relates to medicine, in particular to surgery.

The purpose of the invention is to prevent edema of the ileostomy.

Example 1. Patient M., 56 years old, was admitted with a diagnosis of: Nonspecific ulcerative colitis, severe form, total lesion of a chronically continuous course, cachexia. Due to the ineffectiveness of long-term conservative therapy, the patient was offered surgical treatment. Before the operation, genotymicin was administered endolymphatically at a dose of 80 mg and a volume of solvent of 4 ml. Subtotal resection of the colon with ileo-and sigmostomy was performed. In the postoperative period, the endolymphatic administration of gentamicin solution was continued daily at a similar dose and volume for three days. The postoperative period was uneventful. Ileostomy began to function on the second day; there was no stoma swelling. On the 17th day after the operation, he was discharged home in a satisfactory condition.

Example 2. Patient A, 24 years old, was admitted with a diagnosis of Crohn's disease of the colon, total lesion, heavy form, infiltrate of the abdominal cavity, perianal complications. Due to the ineffectiveness of conservative therapy, surgical treatment has been undertaken. In the preoperative period, 60 mg of brulamycin in a 5 ml solution was endolymphatically administered. Produced colproctomy with the imposition of ileostomy The postoperative period was uneventful. In the next postoperative

to

her

In the first period from the first days, i.i sinus ileostomy appeared, signs of edema were marked. Discharged on day 21 after opium I. satisfactory condition.

... h / r was tested on 28 patients at the age of i 1 (12 years with the diseases: Nonspecific disease and Crohn's disease. u. K showed studies that prevented 4 patients with ileostomy by suppressing the growth of microorganisms and improving the pumping function of the intestinal lymphatic syetema.Endolymphatic administration of aminoglycoside antibiotics in a dose and volume of 4-5 ml of the solvent before and after surgery in patients with intestinal colon diseases after ileostomy surgery prevents the development of edema, ileostomy, which allows 26 of 28 (93%) patients to achieve a normal function of the excretion of the intestinal contents, while with the traditional methods of managing patients 16 16 28

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five

(57%) patients develop ileostomy edema with impaired excretory function. The proposed method of treatment can reduce the time required for recovery of intestinal function in patients with ileostomy in the postoperative period on the first or second day, while in the treatment by a known method, a long-term recovery of intestinal function is observed (4-5 days).

Shape. Invention

A method for the prevention of postoperative complications in patients with inflammatory diseases of the colon after surgeries with an ileostomy overlay, including the administration of drugs, characterized in that, in order to prevent an edema of the ileostomy, an endolymphatic administration is carried out before and after the operation of aminoglycoside antibiotics 4 to 5 ml solution.

Claims (1)

A method for the prevention of postoperative complications in patients with inflammatory diseases of the colon after operations with the application of an ileostomy, comprising administering drugs, characterized in that, in order to prevent edema of the ileostomy, an endolymphatic administration is carried out before and after surgery of an aminoglycoside antibiotic in a single 20 dose in a solution of 4 - 5 ml.