PREVENTION OF THE DEVELOPMENT OF FAILURE OF COLON ANASTOMOSES

Abstract. Objective. Development of a method to prevent the development of failure of large intestinal anastomoses. Research materials and methods. The results of treatment of 127 patients were studied. Colonic anastomosis was performed in 78 patients using a disposable double-row circular stapling device. To 49 patients was used, a disposable three-row circular anastomosis and a local hemostatic agent. Results and discussion. We have improved the method of restoring of the colon. The supporting head of the circular stapling device is placed in the proximal part of the large intestine. A pocket suture is applied and tightened. The distal end of the intestine is sutured. The suturing device is passed through the anus, the distal stump of the rectum is pierced. The Tahocomb plate is fixed on the thrust head. The ends of the intestine are sew with a three-row staple suture. The line of anastomosis is covered with a second Tahocomb plate. Conclusions. Suture line failure was 2.04% versus 3.84% of cases in the comparison group. The method is based on the synergism of the hemostatic and sealing effect of Тahokomb and the provision of mechanical tightness with the help of a three-row seam.