[Optimal surgical tactics in resection of terminal part of ileum]

The possibilities of terminal ileo-ileo, ileo-coeco and ileo-ascendoanastomoses formation in the small bowel resection on urgent indications for ileus and peritonitis were studied up. It was established, that the primary anastomosis formation in these portions is assumed, taking into account intramural hemodynamics, intraintestinal pressure etc. For the prognosis of the intestinal anastomoses insufficiency occurrence it is trustworthy to use transilluminate angiotensiometry and pulsomotorography widely, and for prophylaxis - nasointestinal intubation with decompression, the small bowel sanation and enterosorption, laser-magnetic therapy of anastomotic zone, prolonged intramesenterial lymphotropic therapy.