[The risk predictive factors for paracolostomal complications occurrence]

The most significant risk factors for paracolostomic complications occurrence and their impact on these complications rate were studied. There was established, that most unfavorable prognostic factors while colostomy formation are: preoperative stationary state more than 24 h, the operation duration more than 2 h, the operation time (from 20 to 6 h), the operative intervention volume, the formated colostomy type and kind, the absence of postoperative treatment in department of reanimation and intensive therapy, the disease or trauma duration more than 24 h, severity of the patients' state, hypoproteinemia, abdominal cavity abscesses presence, any kind of shock, technical difficulties while colostomy formation. Introduction of the proposed methods of prophylactic correction of unfavorable relatively governed factors and impact on prognostically beneficient relatively governed factors would promote reduction of paracolostomal complications and lethality rate, and the rehabilitation duration as well as possibilities of the restoration operative interventions conduction in more early terms--in remote period.