[Restoration of bowel tube continuity in patients with colostomies]

The experience of restorative operations conducted within 1980-1995 in 186 patients with one-tube and separated two-tube colostomy gainred in proctologic clinic is reviewed. 179 patients suffered from cancer of the colon. The causes of performing colostomy are outlined. The main stages of restorative operation in two-tube colostomy are described. Peculiarities of colonic anastomosis formation after resection of bowel segment bearing fistula are considered, the resection being performed with the help of laser scalpel. Possibilities of the use of suturing apparatus AKA, peculiarities and advantage of its application in carrying out restorative surgical intervention in 69 patients after Hartmann's operation are demonstrated. The data of reconstructive-restorative operations in conditions of short rectal stump (modification of Duhamel operation), information about complications in restorative operations and their causes are analyzed. The mortality rate made up 2.2%. Possibility and expediency of restorative operations in patients with colostomy accompanied by metastases are discussed.