inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 110.35401/2500-0268-2020-20-4-51-57inovmed-334Research ArticleОБЗОРЫREVIEWSРеконструктивно-восстановительные вмешательства на толстой кишке после операции Гартмана: проблемы и пути решенияColorectal reconstructions following Hartmann’s procedure: challenges and solutionshttps://orcid.org/0000-0002-1205-6840ИголкинА. Н.IgolkinA. N.

Иголкин Алексей Николаевич, врач-колопроктолог, колопроктологическое отделение

350086, Краснодар, ул. 1 Мая, 167

Aleksei N. Igolkin, Colorectal Surgeon, Coloproctology Department

Krasnodar

a.n.igolkin@gmail.comhttps://orcid.org/0000-0003-3649-1027ПоловинкинВ. В.PolovinkinV. V.

Половинкин Вадим Владимирович, д. м. н., заведующий колопроктологическим отделением

Краснодар

Vadim V. Polovinkin, Dr. of Sci. (Med.), Head of the Coloproctology Department

Krasnodar

Научно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. ОчаповскогоРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1Russian Federation202030122020045157Copyright © Иголкин А.Н., Половинкин В.В., 20202020Иголкин А.Н., Половинкин В.В.Igolkin A.N., Polovinkin V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/334

Наличие стомы после операции Гартмана ограничивает трудоспособность пациента и ухудшает качество жизни, так как частично изолирует его от общества. Сложность реконструктивно-восстановительных операций связана с выраженным рубцово-спаечным процессом и наличием низко расположенной культи прямой кишки. На сегодняшний день предложено множество различных приспособлений, технических средств, операционных приемов и техник для выполнения реконструктивно-восстановительных операций на толстой кишке. Однако способы доступа к короткой культе, позволяющие улучшить визуализацию на всех этапах операции, в научных публикациях практически не освещены.

The availability of a stoma after Hartmann’s procedure significantly limits the patient’s ability to work and worsens the quality of his/her life, as it partially isolates him/her from society. Performing plastic colon surgeries is challenging due to the active formation of intestinal adhesions and low rectal stump. At present many different devices, equipment, operating methods, and techniques have been proposed for reconstructive surgery on the colon. However, the issues of access to the surgical area, providing constant visual control, both at the stage of isolation for the short stump of the rectum in the narrow pelvis and in formation process of low colorectal anastomosis, are not covered in the scientific publications.

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