[Temporal decompressive laparoscopy-assisted colostomy]

Abstract

Morphofunctional changes in intestinal wall above the obstruction were studied experimentally in 112 rats with low intestinal obstruction. Treatment with antioxidants and lasertherapy was developed. After removal of obstruction this complex permits to eliminate its negative local and general consequences 1.5 times faster than without it. Laparoscopic decompressive colostomy was performed in 65 patients with sub- and decompensated colonic obstruction. The developed therapeutic scheme was included in combined treatment before surgery. There were no lethal outcomes, purulent-inflammatory complications were seen in 24 (39.6%) patients.