[Primary extraperitoneal resection of the sigmoid]

The procedure developed by T. V. Shaak was used in operations on 38 patients. Lethal outcomes occurred in 2 of them aged 42 and 76. The analysis of late results showed that extraperitoneal localization of anastomosis failed to exert negative influences upon the colon function and disjunction of sutures in the field of anastomosis did not result in the development of diffuse peritonitis. The fecal fistulas can be closed either spontaneously or by surgery.