[Comparative evaluation of surgical interventions in patients with colonic tuberculosis]

Forty-two patients aged 20-60 years with colonic tuberculosis underwent surgical intervention. At the same time, the following types of surgical intervention were used: exploratory laparatomy in 15 patients, colectomy, ileostomy in 8, right-sided hemicolectomy with ileotransverse anastomosis in 7, right-sided hemicolectomy with abdominoanal resection of the rectum in 3, left-sided hemicolectomy by bringing down a transverse colonic segment into the anal canal with ileotransverse anastomosis in 2, ileotranverse anastomosis in 3, initial colonic resection in 2, and colonic resection with ileosigmoidal anastomosis in 2 patients. The purpose of the study was to elaborate the optimum type of an operation depending on the site of a process. It has been ascertained that it is advisable to perform one-stage surgical interventions. At the same time it is necessary to accomplish a through comprehensive preparation for surgery and to take into account contraindications, such as severe heart and respiratory failures, and ileus.