Surgical Rehabilitation of Patients with Atypical Anatomical and Functional States after Radical Organ-Preserving Operations for Non-Tumour Colon Diseases

Authors

  • V. M. Melnyk O. Bohomolets National Medical University
  • O. I. Poida O. Bohomolets National Medical University
  • Abdulrakhman Abdul Kadir O. Bohomolets National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2018.3.9439

Keywords:

surgical rehabilitation, non-tumour colon diseases, reconstruction and rehabilitation operations

Abstract

The aim of the work: to demonstrate modern possibilities and ways of providing rehabilitation of patients after radical surgical treatment of non-tumour colon diseases with available non-typical anatomical and functional states.

Materials and Methods. The system of surgical rehabilitation measures was developed, which was used in 32 patients with available atypical anatomical and functional states after radical organ-preserving operations in non-tumour colon diseases. They are aimed at implementing sufficiently radical, reconstruction and restoration operations, forecasting and preventing postoperative complications, improving functional results, reducing the incidence and severity of severe forms of diarrhea and postcolectomy syndromes.

Results and Discussion. In 2 (6.3 %) patients there were complications due to the implementation of reconstruction and restoration stage of surgical intervention. They led to the necessity of extirpation of the anal canal fistula, removal of ileoendoanal anastomosis, and the formation of a lifelong ileostomy. In 30 (93.7 %) patients, favourable functional results were obtained, and a significant level of surgical and social work rehabilitation was achieved. A significant level of rehabilitation of operated patients was achieved through the implementation of sufficiently radical and developed reconstruction and restoration operations that prevented the relapse of the disease, the emergence of pathological conditions caused by the removal of the large intestine; prognostication and purposeful prevention of severe postoperative complications, stage monitoring of the condition of operated patients.

Conclusions. 1. Surgical rehabilitation of patients operated for serious non-tumour colon diseases is a complex of organizational and therapeutic and prophylactic means aimed at returning to a society of a citizen sufficiently adapted to the conditions of modern society.

  1. Surgical rehabilitation of patients with atypical anatomical and functional states in the radical surgical treatment of non-tumour colon diseases requires further improvement of surgical treatment methods and lifelong monitoring of the condition of operated patients.

3. Performing sufficiently radical surgical operations, developing new reconstruction and rehabilitation operations for existing non-typical anatomical and functional states contributed to the provision of favourable functional results, a significant level of surgical and social and labour rehabilitation in 93.7% of patients.

References

1. Decision on Issuing a Declarative Patent for a Utility Model 20036/ЗУ/18, Ukraine. МПК А 61 В 17/00. Method of Formation of Small Intestine Pelvic Reservoir. V.M. Melnyk, O.I. Poida, Abulrakhman Abdul Kadir. (Ukraine). – National Medical University named after O.O. Bohomolets. u 2018 02861– Rep. on 21.03.2018. Issued on 18.07.2018 [in Ukrainian].
2. Patent 127364 Ukraine. МПК А 61 В 17/00. Method of Ileoendoanal Anastomosis. V.M. Melnyk, O.I. Poida, Abulrakhman Abdul Kadir. (Ukraine). National Medical University named after O.O. Bohomolets U 201802283 – Rep. on 5.03.2018; Publ. on 25.07.2018. // Rep. № 14 [in Ukrainian].
3. Patent 71956 Ukraine. МПК А 61 В 17/00. Method of Dislocation of Dmall Intestine Transplant into the Small Pelvic Cavity. /V.М. Melnyk, O.I. Poida, Abulrakhman Abdul Kadir. – National Medical University named after O.O. Bohomolets. u201203875. Rep. on 30.03.12; Publ. on 25.07.12. // Rep. № 14 [in Ukrainian].
4. Patent 128180 Ukraine. МПК А 61 В 17/00. Method of Mobilization of Small Intestine Transplant. V.M. Melnyk, O.I. Poida, Abulrakhman Abdul Kadir. (Ukraine). – National Medical University named after O.O. Bohomolets U 201802253 – Rep. on 5.03.2018; Publ. on 10.09.2018. // Rep. № 17 [in Ukrainian].

Downloads

Published

2018-10-16

How to Cite

Melnyk, V. M., Poida, O. I., & Kadir, A. A. (2018). Surgical Rehabilitation of Patients with Atypical Anatomical and Functional States after Radical Organ-Preserving Operations for Non-Tumour Colon Diseases. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 38–43. https://doi.org/10.11603/2414-4533.2018.3.9439

Issue

No. 3 (2018)

Section

ORIGINAL INVESTIGATIONS

License

Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  
  2. Лицензия Creative Commons
  3. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)