Surgical rehabilitation of patients with double-barrel intestinal stomas

Aim of investigation. To analyze results of the reconstructive surgery at double-barrel ileo-and colostomas.

Stuff and methods. Overall 161 patient were enrolled to original study. Of them 80 patients surgery was limited to the stoma part of the large intestine (1st group). For 81 patients elimination of the disease resulted in stoma formation was combined to concurrent liquidation of the stoma (2nd group).

Results. Postoperative mortality in the 1st group was 1,25%, and zero in the 2-nd group. The incompetence of interintestinal anastomosis (in 3 patients of the 1st group) has developed only at attempt to preserve the back wall of stoma. The total rate of wound-related complications in the site of stoma was 4,9%.

Conclusions. Simultaneous intervention with elimination of the disease, that caused development of a stoma, with its simultaneous liquidation is safe enough. The method of liquidation of double-barrel stoma with resection of stomated intestine and formation of circular interintestinal anastomosis is more preferable. Simultaneous correction of aponeurotic defect in the site of stoma and formation of postoperative scar with good cosmetic effect is also possible.

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