[Restorative surgery after combined and extensive radical operations on pelvic organs]

The rates of lower bowel cancer morbidity have risen from 10.1 to 13.5%, while those of urinary bladder--from 7.4 to 8.9%--per 100,000 of population in Omsk Region for the past 6 months. The shares of tumors stage III-IV were 64.3 and 46.1%, respectively. Combined surgery in the organs of the small pelvis was carried out in 275. Since 1997, 32 patients have had the lower part of the bowel and/or urinary bladder removed and an isolated ileocecal angle formed turning towards the small pelvis, as a method of choice for surgical rehabilitation. No early postoperative complications have been reported. At a later stage, 7 patients suffered pyelonephritis and one--stricture of ureteroenteric anastomosis. Our modified procedure of cystoplasty offers optimal means for social rehabilitation of the patient and prevention of reflux-pyelonephritis as well as cutting down the risk of immediate postoperative complications development.