The reasons for the failure of the anal sphincter are due to operations on the distal rectum. Renovation of the rectum for surgery View resection of the rectum

The main method for treating rectal cancer is promptly involved... Fighting with puffs has a lot of oncology just one in a few ways. Innocently, you should be able to fit in with ailments, before surgical interventions, chemopromene therapy may be prescribed. However, the very operation of seeing the evil chubby in the most effective, hopefully radical way, is the way to lick this ailment. Bagatokh paciєntіv tsіkavit nutrition vіsіvіvnosti pіslа operatsії. How can you live with surgery for rectal cancer, and who is guilty of a new period, why will I be able to get over the ailment?

First, it is not necessary for the nobility, not to take into account the food supply, as the most operative methods of stagnation in the treatment of rectal cancer, its particularity, as well as the very rules of rehabilitation.

In this hour, for rectal cancer, there are 2 types of operative methods of treatment, which can be divided into palatal and radical ones. First, they are oriented towards the polish of self-esteem and the quality of life of children. Radical surgery for visible rectal cancer allows for the development of new and metastases. If brothers to respect the surgical technique of carrying out such an operation, then the whole method є in medical it is foldable.

The ailment organ grows in the most glybin of the small pelvis and cries to the crunch. A handguard with a straight intestine is to be found with great blood-bearing judges, who will ensure the delivery of blood to the gut and legs. Nerves, rostasovany near the rectum, control the activity of the secular and statistic system. On the current day, a decal of methods for radical operations has been broken up:

anterior resection.

It is also promptly involved in the recognition, if the fluff is localized in the upper rectum. Hirurg to control the stress in the lower part of the abdomen and to see the sigmoid and rectum. As it seems, in the process of the operation, fluff is also absorbed and the dough of tissue is kept to its health.

Low resection.

The operation is detected in the presence of swelling in the middle and lower parts of the intestine. Danish method I will call it a total mesorectumectomy and get involved in a medical standard way to see a new solution in the rectum. With such an operative entrusted doctor, it is practically impossible to see the rectum.

Cranial-perineal extirpation.

The operation is to be repaired in two ways - in the abdomen and crotch. The method of straightening on the visible rectum, anal canal and navkolishny tissue.

Mistsev resection allows you to see other chickens at the first stage of rectal cancer. The endoscope is a medical instrument with a small camera. This endoscopic microsurgery allows us to successfully struggle with new solutions at the first stages of illness. At times, if the chubby is known near the anus, the endoscope may not be stuck with a surgeon. Hirurgi mallyakisnu pohlinu patients see without the middle for additional surgical instruments, which are introduced through the anal opening.

In modern medicine, there are also new methods of operative treatment for rectal cancer. The stench allows the sphinkter to save the body, so come to radicalize in surgery rіdko. One of such methods є Transanal visualization.

Ways to be victorious for usunennya small fluff, which is localized in the lower end of the rectum. For the operation of the operation, special possession and medical tools are required. The stench allows you to remove small quantities of the rectum and to preserve the navkolishny tissue. An operation was given to be victorious without usunenia of lymph universities.

Malicious rectal fluff can also be seen behind additional screening laparoscopy. With the laparoscopic method of surgery, a spike of small disruptions in black empty... A laparoscope with a camera is inserted into the organ through one rozriz, which is equipped with a camera. Hіrurgіchnі tools for vivid chillin are introduced through іnshі razrіzi. Laparoscopy coming from empty operations by a quick new period and technical surgical engagement.

A special stoma for vivedennya viporozhnen is opened without the need for the surgery for the patients. It itself is a piece-piece opening in the belly, to which you can attach a dish for the collection of feces. The stoma is displayed from the intestinal cavity. Otvir can be a team chasov or unnecessary. Timchasova stoma is opened with surgical procedures for suppressing the rectum by rectal involvement. This kind of openings, opened for an hour, should be closed with surgeries through a drop of miscellaneous. After a while, it is necessary to open it only in the same way, if the chubby was known to be in the anus, in order to reach low in the rectum.

In case of cancer, if the cancer is hostile to the rectum of the body, great operations are seen from the visible chubby - pelvic eksenteratsiya, which includes obov'yazkove vizualnya sectional mikhura and find statutory organs.

Innocent crayfish can dissolve intestinal laxity, blocking the organ and vigorously vomiting and pain. In some situations, stenting or surgical involvement will be stagnant. When stenting, a colonoscope is introduced into the blocking of the dilyanka, which will stifle the intestine. With the operative method of blocking, the dilyanka is seen by a surgeon, for which the team's stoma is opened.

Preparation before surgery for rectal cancer

Surgery for rectal cancer vimag of obovyazkovoi preparation. For the dobu before the surgical involvement, an additional bowel cleansing is carried out in terms of feces. This is necessary in order that the bacterium in the intestine did not consume an hour of the operation during the operation and did not experience suppuration during the period of operation. In important cases, when an infection gets into the empty space, it can also develop rather quickly, such as peritonitis.

When preparing a radical surgery with a doctor, you can use drugs that can cleanse the intestines. From the reception of the given households it is not possible to see. It is important to accurately follow all the recommendations before the operation - take the required amount of birth, not live, etc.

Operation update

Rehabіlіtatsіya in lіkarnі

Hirurgicne engaging in vivid cancer lykarsky recommendations at the main period. The operation for the visualization of rectal cancer allows the polypathy of the life of sick people and the improvement of life in case of sickness. Yearly surgeons aiming at carrying out organ-saving methods and to stop bringing to the minimum functional breakdown organism for the operation. The intestinal anastomosis allows you to preserve the uninterrupted intestine and sphincter. In a similar person, the stoma does not enter the intestinal wall.

Organism renewal to be repaired in reanimation. For obvious reasons, the personnel are ill with anesthesia. Medical control allow lіkuvati may you expedite, Zapobіgaє bleeding. On a friend, I will add a license to the operation. In any case, not to see and continue to lie down.

For operative pain in the abdomen and discomfort is known by taking analgesics. About all nezduzhannya is required for medical personnel. Praise lіkіv allow you to lay down the camp. Likarem can be used to designate spinal or epidural anesthesia for additional help. Znebolyuchі drugs can also be introduced into the body behind an additional dribble. In the area of ​​operative wound, there can be special drainage facilities, which is intended for the circulation of the country. Through a few days of wine to climb.

Independently and drinking is possible in two or three days after the operation. She must be guilty only of such porridge and wiped soup. She is not guilty of revenge fat.

For the next day, the lycar permits the ruh. For bowel restraint it is necessary to wear a special bandage. A little attachment is necessary to reduce the pressure on the muscles of the cranial press. The bandage also allows you to secure a single grip in the black empty and the efficient connection of the operative seams.

With the presence of a piece opening (stomy), it will be swollen in the first few days. However, already after a few minutes, the stoma will change in size and speed. Call us for the operation to move to the stationary does not take more than seven days. As soon as a surgical wound is applied with a surgeon or a shvi, the stench will be known in ten days.

Rehabilitation of the booth: important moments

Surgery for rectal cancer is not a serious surgical procedure. When you write whiskey from the clinic, even more importantly, straighten your respect for not letting it go to the grass tract. It is necessary to start special activities. From the generic races, products are included in the highest level of potatoes, fresh vegetables and fruits, and great shmatki. In any case, it is impossible to live in smoked meats and greased herbs. The menu is guilty of adding porridge, soup-puree and mixed vegetable herbs.

Bagato patients mean significant changes in the intestinal robot for a rectal operation. Especially rich in an hour on the outside of the renewal is known during the total mesorectumectomy. With such a folding operation, the intestine is renewed only through a drop of months. Surgical entanglement can be carried, the number of defecations is increased, there is no fecal mass, and the intestines are swollen. An interchange therapy can also be performed on the body before the operation.

Every year, damage to the intestinal tract goes through. Renew the health of the body with regular intake of other, frequent portions. It is also important to vipivate a great number of children. For a quick drink, it is necessary to have a lot of white products - meat, ribu, eggs. Zagalna kharchuvannya is guilty of being well-balanced.

When the wine grows in size, it is necessary to live the product with a low volume of cells. Over the course of the year, the process of gratification will increase, and the menu gradually introduces products that previously could have caused serious problems in the robotic organ. If you save a lot of food, you need to go to the doctor for help.

It is important to carry out the necessary things to the right in the intravenous period, as they are directed to the change of the rectal and sphincter mucosa. Determination of special gymnastics to help improve the recognition of non-trivial style, to help improve a sexual life and normal function of the body.

Widgets about operations and updates from her

vidguk No. 1

I have bully pukhlin in the lower rectum. The operation was considered serious and radical. Bula vived a colostomy into the abdominal wall. The renewal of the operation took even more than an hour.

This year there have already been three rockets for the operation. I regularly create all the necessary analyzes and go through the regularity. Leaving any of them has not been boiled over. That’s why I don’t care for the positive result.

Kirilo, 49 rokiv - Kazan

vidguk No. 2

They also robbed the openings for visible swelling of the rectum. Likar explained to me that only without colostomy, but in some cases, the function of the intestine changes. On the day of the bull, an operation was performed on the close of the ostomy. Already five rockies, I’m not guessing about the operation. At the same time with the surgeons, I went into the distance to overcome the ailment! Ale for a day, I’m gazing at the dosi and waking up in the sanatoriums once on the ric.

Anatoly, 52 rocky - SPb

vidguk No. 3

My mother saw chubby in the rectum in 65 years. Before the operation, they did not shake any kind of optimization. Stoma in the stomach may not have been lifted, but the bowel function has been improved to fill up quickly.

Our family was firmly convinced of the success of the operation. Two months have passed since the moment of the operation. Mom sensed for herself, walking with a stick, a lot of low-fat food and fresh vegetables.

Irina, 33 rocky - Novosibirsk

Rectum - tse kintseviy vidrizok herbal tract people, visonuє duzhe important function: Here to accumulate and be called feces. The normal functioning of the body is even more important for the general life of the people.

The main problems with the rectum: hemorrhoids, rectal abnormalities, anal fissures, proctitis, paraproctitis, inferiority, good and bad puffiness.

The most significant and the most significant folding operations in the rectum є operations at cancer patients the whole body.

The very fact, that accumulated feces are accumulated in the rectum, and there is a lot of trivial contact with the entrances of poisoning in the small intestines. Let us explain the fact that the greatest amount of intestinal fluff is stored in rectal fluff.

Radical treatment for rectal cancer є surgery. inodi surgical treatment To combine with exchange therapy, even if the diagnosis of rectal swelling is set, the operation is inevitable.

The rectum was removed from the small basin in a small basin, very quickly, with quicker access to it. Through the extraordinary laparotomic growth, it is possible to see only the chubby of the supra-ampullary (upper) part of the organ.

See resection of the rectum

The nature and operation of the operation is to lay down from the process of growing the pudding, and more precisely - from the lower edge of the pudding to back aisle, Because of the manifestation of metastases and the severity of the sick person.

As soon as the pukhlina is roasted less than 5-6 cm from the anus, the rectal extirpation is visible through the rectum, so that it is more visible at once with the nasal cell, lymph nodes and sphincter. During the operation, post-colostomy is formed - decay sigmoid colon To be named and to grow up to shkiri in the left half of the belly. The prototype anus is necessary for the feces mass.

In the first half of the 20th century, with diagnosed rectal cancer, it was only seen.

In a given hour, before the radical licking of the puffy body, peeping at the cinnamon, it’s mensh to start operating. It is revealed that it is not necessary to look outside the rectum. In case of localization of swelling in the upper or middle third, a spine-preserving operation is performed - anterior resection and cranial-anal amputation of the rectum.

The main types of operations on the rectum, which are stagnant in the given hour:

Cranial-perineal extirpation. Anterior resection of the rectum. Cranio-anal amputation from the reduction of the sigmoid colon.

In vipads, if it is not possible to radically see the fluff, a palatal operation is performed, as the symptoms of intestinal obstruction are absorbed - a colostomy is introduced, and the fluff itself is lost in the organisms. Such an operation only lays down the camp of the patient and his life.

Anterior rectum resection

The operation is carried out in case of swelling of the swelling in the upper end of the intestine, on the cordon from the sigmoid. Tsey viddil is easily accessible with cranial access. The segment of the intestine at once from the chubby and extends away, the decaying segment of the sigmoid and rectal mucus is sewn up manually or for an additional special apparatus. As a result, sphincter and natural intestinal emptying are preserved.

Cranio-anal resection

This kind of vrachannya planuєatsya, as the chubby is roasted in the middle section of the rectum, the food is 6-7 cm from the anus. It can also be stored in two stages:

The sigmoid, straight and decayed form of the colon for further resection and repair can be mobilized through laparotomy. Through the anal opening, the rectal mucosa is separated, the intestine is brought into the malium pelvis, the rectum is seen, and the anus is taken off. The sigmoid is sewn on along the stake of the anal canal.

It is not always possible with a whole type of operation that you can display all stages at once. In the case of a colostomy, and only in a ten hour another surgery will be performed to renew the intestinal interruption.

Інші methods of treatment

When the size of the swelling is more than 5 cm and when the metastases in the regional lymph nodes are metastasized, promptly initiate a combination of preoperative exchange therapy. Transanal resection of chubby. It is carried out behind the aid of the endoscope in the droplets of a small size of puffiness (not more than 3 cm), the germination of a small amount of pudding, and the growth of a sprout in the midst of metastases. Transanal resection of a part of the rectum. It is also possible to carry out laparoscopic resection of the rectum, which significantly reduces the trauma of the operation.

Cranial-perineal extirpation

As it was already said, the whole operation is stagnant as a radical method of elimination of fluff, rots in the lower third of the rectum. The operation is performed in two stages - cartilage and perineal.

On the cranial stage, the lower laparotomy is carried out, the sigmoid fossa appears on the ryvn 12-15 cm of the upper pole of the chick, the decaying segment of the intestine is inserted for a decrease in education and to be brought into the wound, to be reshaped to survive Mobilize the rectum (bandage the arteries, remove the fixings). The wound is sewn up. Intermediate stage of the operation on uvazi circular tissue growth near the anus, viscous intestine of the intestine and visualization of the rectum at the same time with the lower segment of the sigmoid colon. The gap in the back passage is tightly sewn in.

Prototype indication before rectal surgery

Oscillations of the operation in case of malignant puffs are brought before the operations for the life shows, but the only counter-indications before it are even the important camp of the patient. It is often possible to deliver such ailments to the hospital at an important hospital (cancer of the cachexia, anemia), before the operation, preparation for an hour will allow the preparation of such patients.

Preparation before surgery on the rectum

The main conditions, which are necessary before the operation:

Analyzes: blood analysis, blood chemistry, biochemical analysis of blood, coagulogram, blood count and Rh factor. Pre-treatment of markers in infectious diseases - viral hepatitis, syphilis, VIL. Electrocardiogram. x-ray of organs breast cancer... Ultrasonic cleaning of organs of a worm empty. Inspection of the therapist. For women - a survey of the gynecologist. For a more accurate measurement of the width of the puffiness, the MRI of the pelvic organs can be used. Obov'yazkova bіopsіya new design for viznachennya obsyagu vydalennya fabrics (with less differentiated types of puffs, the cordon sees fabrics that are guilty but expanded).

A few days before the operation:

A slag-free diet is meant (with a minimum of crumbs). Skasovuyutsya drugs, scho viklikayut blood razrіdzhennya. Antibiotics are meant, as they drive in the pathogenic intestinal flora. On the day in advance of the operation, the implantation of firm їzhі (it is possible only to drink) is taken away, as well as bowel cleansing is carried out. It is possible to carry out: For the help of the cleansing klizm, scho carried out through a ten hour through the day. For the reception of strong carry drugs (Fortrans, Lavacol). For 8 years prior to the operation, it is not allowed to take a drink or a water.

In case of vipads, if the patient is even weakened, the operation can be put to normalization. Thus, blood transfusions of any components (plasmas, erythrocytes), parenteral administration of amino acids, salt solutions, treatment of heart failure, metabolic therapy are carried out.

Rectum resection surgery is performed before gallant anesthesiaі trivaє not less than 3 years.

period of operation

Immediately after the operation of ailments, it is necessary to take part in the form of intensive therapy, which lasts for 1-2 days, and there is a retreat for the functions of the heart, movement, and intestinal tract.

A tube is inserted into the rectum, through the yak, the intestines are rinsed with antiseptics for a day.

With a stretch of 2-3 dib I will remove the patient parenteral feeding, Through a few days of moody, with a bit of a richer їzhі, we move by stretching two tizhnіv transition to a solid їzhі.

For the prevention of thrombophlebitis on the legs, special elastic panchochis are needed, or they will be stuck on the elastic bandage.

It refers to antibiotics, antibiotics.

Basic accelerated surgery for rectal surgeries

Bleeding. Schooling of suspicious organs. Fired suppurations accelerated. Covering the section. Reliability of seams in the anastomosis. Pislyaoperatsіynі grizhі. Thromboembolic acceleration.

Life with a colostomy

As soon as the operation of a complete extirpation of the rectum is known for the formation of a post-colostomy (anti-natural anus), the patient is guilty of making progress in advance. The whole fact is to sound the shock of the sick, one to a categorical view of the operation.

It is necessary even to explain the report to the ailing and relatives, as well as a whole life with a colostomy is possible. Suchasnі kalopriymachі, as for the help of special plates to fasten up to the shkіri, uncomfortable underneath, not letting in smells. also specials for a look behind the stoma.

When a patient is diagnosed with an ailment, a patient may need to look after the stoma, monitor the vision, and select a colostomy bag of a type and size. Nadal such patients may have the right to be secured with calipers and plates.

Diet of operations on the rectum

The first 4-6 types of surgery on the rectum are interconnected with the life of a coarse cell. At the same time, the problem of increased constipation became urgent. Allowing the implantation of cooked meat and ribs, steamed cutlets, wheat stale bread, soup on a weak broth, porridge, sheep puree, stewed vegetables, zatkanok, dairy products from ukrauvanny, milk, seasoned eggs Pittya - tea, herbs, non-gas mineral water.

Obsyag ridini - not less than 1500 ml for dobu.

You can expand it on a step-by-step basis.

The problem of preventing constipation is an urgent one, so in this case it is possible to live bread from a coarse broom, fresh vegetables and fruits, meat broths, dried fruits, malts in small quantities.

Patients with a colostomy call to see the lack of handiness with the overwhelming appearance of gases, that the stench of the nobility of products, which can be vicious gas supply: Milk, black bread, leaven, peas, peas, gas drinks, beer, health, fresh ogirka, radish, cabbage, cibulya and deyaki іnshі products.

The reaction to that product can be very individual, so it is recommended for such patients to keep a grub.

Video: resection of rectal swelling, surgical operation

It is stated in the statute that there is a way to live a life of guilt to lead oncological ailments, and that intestinal cancer during surgery is not likely to recur and not to be renewed with new strength. And also there will be a tribute to correct food: It is necessary for a sick person to work for an hour rehabilitation period, І how can there be an accelerated status, if you don’t follow the recommendations, proponated by the drug?

Storage and inheritance

The operation for intestinal cancer is risky and not safe, as and only the surgical procedure is due to the given folding. The first signs that are vvazhayutsya provinces for operational acceleration, Doctors call the blood in the empty queue; as well as problems in case of wounds or infectious diseases.

Surgical visualization of intestinal swelling is observed and accelerated:

Insufficient anastomosis:

Anastomosis is a combination of two anatomical segments one to one. If there is a lack of seams in the anastomosis, two intestines that have been sewn up between themselves, may pause or tear. As a result, the intestines should be drunk in the empty queue and peritonitis (fired).

Destruction etching:

There are a lot of ailments for promptly getting involved in the loss of the reception process. From them, it is most common to find skargi for flatulence and the act of defecation. As a matter of fact, we are ill to be brought up with a change of heart, the shy ones are more one-to-one.

Most often, adhesions do not disturb a sick person, even through impaired motility of the intestinal mucosa and the stench of passing, the stench may feel painful and not safe for health.

What is the culprit to include rehabilitation for bowel cancer surgery?

At the reanimation of the patient, the patient will turn under anesthesia into a normal camp. The patient after the end of the operation is prescribed analgesics for the nobility uncommon views and I am in pain in the black empty. Lykar can indicate anesthesia (epidural or spinal). For others, injecting drugs into their organisms to help them know the bile. In the area of ​​the operative wound, special drainage will be provided, which is required for the discharge of the excess, and after a couple of days it will be cleaned up.

Without additional help, the medical staff will accept the sickness, we are allowed to go through the operation. At the ratsion of food, the guilt includes both ridky cereals and good grated soups. Only after a couple of days, the patient is allowed to oversaturate on the license. The intestines go, the patients are recommended to wear a special bandage, which is required to reduce the pressure on the abdominal muzzle. Until then, the bandage will allow you to keep the same grip on the whole area in the black empty, and in the quick and efficient way of the seam during the operation.

The course of the rehabilitation was successful, the patients were asked to prescribe a special day, which stench they were guilty of. Clearly established children for oncological patients do not have a problem, and it’s impossible to stay away from being like a patient. Ale, in any way, you need to collect your food with an eligible doctor or a doctor.

As soon as the operation takes place, a sick person will have a stoma (piece hole), then in the first days it will be swollen. Already stretching out the first two types of stoma, the short stoma changes in size.

As soon as the patient’s camp is not ruined, it’s not longer than 7 days to lie in the hospital’s hospital. Shvi abo klipsi, as naklav kirurg on the wound, know in 10 dB.

Colon cancer surgery

One can say about the food races for the operative treatment of intestinal oncology, that ailments can catch up with the usual food for them. If you have symptoms of deterioration of etching (change, immobilization, constipation), it is recommended to correct the deterioration of the regulation of the style, which is even more important for those with a piece back passage.

As soon as we promptly entice you to torture a part of the rare style, the doctors are glad to live with the products from the malim vmistom klitkovini. There is a step-by-step change of the sick person, and in the menu to enter the products of food, which have previously responded to problems in the robotic organ. To update the race, go to the consultation to the doctor.

I went to live in small portions five times a day. Piti richly born with acts of acceptance. It’s not going to sleep for an hour, it’s necessary to kindly remind you. live uzhu average temperature(Not too cold and not too hot). To achieve systematicity, and regularity in the reception of the їzhі. For patients, whose vaga bows out to the norms, doctors are happy to live in the world. We are sick, with a lower than normal, it is recommended that there are more than three, and we suffer from Zayvoi Vagi─ less than three. I am more beautiful to cook it for a couple, to cook it or to quit it. Slime is seen from the products of the abdomen (flatulence); as well as gostrich or grease strav, if you endure it by force. Unique implantation of products, up to which there is intolerance.

The head of food, as well as sick people drinking whiskey for the stationary, - why can you smell the stench of the work? For the operative treatment of intestinal oncology, the rate of attendance of patients is based on the following factors: stage of development of puffiness, type of oncology, as well as the profession of ailments. Pisle of cardinal operations, stretching out decisive rockets of patients does not matter until the beginning. Ale, if the relapse has not begun, the stench can turn to old robots (it's not about physically important professions).

It is especially important to update the heritage surgical operations, Yaki produce up to incorrect intestinal robots (processes of heating in the area of ​​the piece anus, a decrease in the diameter of the intestine, burning of the intestine, non-limiting feces and in.).

As soon as the lykuvannya finished successfully, the ailing one goes through 2 rockets on a regular basis: zagalny analiz feces and blood; regularly passes through the surface of the intestinal surface (colonoscopy); x-ray of the organs of the breast. Even if a relapse is not diagnosed, it is necessary to carry out diagnostics at least once every 5 years.

Patients, who have grown up, have not been surrounded by anything, but have not been busy with the important physical robot for six months of writing a whiskey from the stationary.

relapse prevention

A chance for a relapse, when you see the good-natured poohlin, in the region of maliy, only one stench is recognized through non-radical operations. The idea of ​​two rocky therapy to help progresses to the growth of puffiness (metastasis or relapse) is even more important. New solution, as it appeared again, qualifies, as a relapse. Eliminate the recurrence of malignant fluffies, often with conservative methods, vicious with a lot of anti-swelling and exchange therapy.

Home prevention of recurrence of puhlin ─ tse early diagnosisі it is urgent to be promptly involved in local oncology, as well as outside the application of ablastic norms.

The singers are glad for the second prevention of recurrence of this oncology. Above the doctors, nevertheless, to please the preliminaries, there are also the rules, but in the case of the first prevention:

Step by step be in Russia, to lead an active way of life. Make the implantation of alcohol to the minimum. Throw flicker (yaksho qia shkіdliva svichkaє). Varto skinny (yaksho є zayva vaga).

During the period of renewal with the method of cancer renewal, it is necessary to carry out a special gymnastic exercise, to improve the intestinal mucosa.

8855 0

For the resolution of the problem, tied with the second ampoule of the rectum and the internal sphincter, it is possible to reconstruct the distal anatomical structures by means of the "neorectum" stem with the shape of the C-shaped intestinal large intestinal reservoir and the "non-phosphinic intestinal"

The operation is performed through the middle laparotomy, a revision of the organs of the empty waste is carried out. When there are metastases, it is not necessary to repair the dressing and overturning of the lower Brijovian vessels. A segment of the colic intestine with urahuvannya of the formation of a smooth glandular cuff and a stool reservoir is far from being brought down. The sigmoid pattern is melted, and the finishes are drawn into the Chinese sewing. Then the formation of the serous-myazovoy cuff with a width of 3-3.5 cm is carried out according to the described technique.

The intestine of the cuff is 1-2 cm long, the intestine is stored near the two-barreled viglyad, and the reservoir is formed, and the visce is described. The reservoir can be shaped with a single-row or no-row hand seam. Reconstruction of the gut for airtightness should be done by introducing 100-150 ml of antiseptic solution behind an additional tube, carried out into the intestinal lumen (Fig. 84), so that it can be seen, delayed before the overlap of the sour canal is applied, the transplant

Small. 84. Scheme of recirculation of the tightness of the seams of the intestinal reservoir

(Interfacial resection should be performed by the offensive rank - from the side of standing 0.5-1.0 cm) the tooth line is visible from the internal sphincter, allowing to enter from the lower pole of the fluff is not less than 86 cm, the distance is adequate The preparation of the intestine with chubby is seen through the laparotomic wound. The emptying of the pelvis is washed with antiseptic sprays.

Small. 85. Scheme of presentation of the interfacial resection:
1) the fluff of the lower ampoule of the rectum; 2) zy6chaty pіnіya 3) internal sphinkter; 4) zvnіshnіy spіnkter

Small. 86. Surgical preparation of ailing G. 42 years. i.6. No. 2891. Transferring the interfacial resection to the shape of the reservoir and the smooth muscle pulp to drive the rectal cancer by 4 cm:
a) view from the side of the sp_sty casing;
b) side view of the mesorectum

Small. 87. Diagram of the rosetting of the reservoir and the cuff in the empty basin during interstitial resection

After 3-6 months for patients, who underwent such an operation, the style was 1-3 times per dose, as a rule, all the components of the intestinal cavity were worn out (Fig. 88).

Small. 88. Defecogram in the phase of tight resemblance in the ailing G., 42 rocks I. 6. No. 2891. After 1 month of writing an interstitial resection with the shape of a Z-shaped reservoir and a smooth pulp

Netrimannya kalu in period of operation meet up often. There is also an acceleration in the amount of wine resulting from the destruction of the robotic tissue. As a result, the rectum is not sufficient for a small amount of feces to be found in the intestines of a sick person. Suffering from such a problem can be like women, and people can be seen right away.

Zgornuti

With normal health, no defecation occurs. Sphіnkter zdatniy utrimuvati vmіst intestines, not affecting the calves mass. The stench can be hard, hard, or in a gas-like mill. The intestinal hyperemia should not be lost as well when the position of the body changes, with significant physical options, Cough for an hour smile. For tightening the style without special zusil from the side of the people in the body, together with the head and spinal cord, m'yazov_ fabrics sphincter, nerve fibers and rectal receptor.

Normal defecation does not occur in a normal state

Nontrivial feces in older adults develop when the structure of the muscles is damaged, or through the damaged nerve-reflex connections. The robots of one of the factors can be the reason for seeing feces without bazhannya people. It’s a phenomenon that leads to a different way of life, and in a literal sense, it doesn’t overshadow people’s possibilities of living outside the booth.

The main reason for the sufficient defecation is the loss of the sphincter, who, in case of passing feces through the intestines, the sphincter cannot perform well. At the same time, you should be positive before defecation.

The main reasons for the operational non-triviality of kalu є:

• irregularities in the robot's internal sphinkter. Defecation is uncontrolled only in that case, if ailments are not known to be learned to give a command to their body about the removal of feces. Such a situation can be experienced during sleep, with severe stress and emotional shock;
• the ear of the receptor device of the distal rectum. Denmark is a kind of poorushn to increase the visibility of people before defecation. Ailments are not visible in the intestines and the need to be seen in the intestines through a sprinkler only for an additional perianal school;
• destruction of the robotic nervous system. When you reach a serious defeat, the calls and internal spines cease to interrelate.

Unfriendly may be due to a number of reasons

Falling back from the surroundings, which caused the development of the non-trivial, the development of the growing number of problems.

Surgical method of vicious treatment in case of organ weakness of the patient's sphincter

In vipads, if a sick person has a hemorrhoid university, they use a combined treatment scheme. Surgery is carried out in hand, in order to freeze conservative methods, I will accept the consolidated and predicted results of the operation.

In some cases, it is promptly hardened

Carrying out an operation in such situations is not only not to polish the patient's self-respect, but rather to ruin his camp. Hіrurgіchnya involved in harrowing in case of the presence of an ailing onset pathologies:

• destruction of robotic receptors and provincial paths;
• getting sick of the central nervous system;
• urazhennya peripheral systems.

Skin type is individual, that is, before the treatment is taken for a skin patient

Pidhid to the skin patient is guilty of being individual. So, how the operations are carried out are based on the character and the world involved, the fahivets are guilty in detail to vivchit the camp of the sick and vrahuvati all officials, who put on a new inflow. Vibir method of treatment is to lay down in order to neglect the patient's camp. chim more than Lyudin Having made a visit to the problem, they will more strongly raise the atrophy of the tongue, so that it will block up more problems and the development of other problems.

Lіkuvannya nontrivialnya kalu at lіtnіkh women

name exactly the reason The development of the non-trivial feces from the females of the kidnapped Vika is easy to complete. Most often in the anamnesis of the presence of natural canopy more than once with a prolonged and important delivery.

Usunennya problems of sufficient defecation in a kidnapped child є even more awkward employees. Trenuvannya m'yazіv, vikonannya right and biostimulation in deyakie vypadnennym are important. Navigating the least efficiently and quickly in a summer trip may not be safe, because people often don’t think about the surgical method.

Trochi polіpshiti stan paciєnta is possible for an additional course drugs... For minimizing the discomfort of young people, as well as being quiet, if you look for ailments, you can try the virobitic rhythm of defecation. For example, when you take it, it’s until you take it and check it out, if you have a defecation. This method is used to adhere to the process of intestinal excretion up to an hour after drinking. Organism sounds up to such a rhythm, the number of unsuitable defecations changes.

In case of elimination of fistulas of the anus it is not easy for the surgeons to fix the operation of the fistula development right from the start. Ale seemingly, up to 30-40% of fistulas develop as a sphinkter. When a fistula is rosted in a cichus, the whole diameter of a circular fistula will be lost. To increase the loss of fibers and secondarily the wounds. Practical surgeons do not use the price, it’s important to remember the scar to memorize the sphinkter. First and foremost, in one way, one should try to improve the function of the spincter to write this.

P. I. Tikhov in a handbook with a private surgery about the elimination of fistulas in the anus, writing: “Likuvannya is made up to the development of the fistulous course. At the same time, there is a lot of sorrow in the sense of being beaten by the sphinkter. The operation is majestic, there is a lot of wound to be tamped and used for starting with a second pull. In the wicked minds, it’s wonderful to be energetic and marvelously fast ”.

N. I. Makhov having written: "Zovnіshny mezovy pulp, to overturn at elimination of fistulas of the rectum, to grow in a ten hour by the second interference in the world of contraction of the wound of the rectum and the ability of the pulp to be renewed."

A. N. Rizhikh in case of operative elimination of fistulas for the root of calm and short healing of the wound, recommending the placement of the sphincter on a depth of 0.7-2.4 cm from the side of the back passage along the anterior, and even more importantly on the back surface of the right side of the wall. The author relies on the functional safety of such involvement.

We were absolutely responsible for the many aprons of the world of the authors. unprimed... Ale of factual tributes, we do not have it especially, but in literature there is not too much, how to say for sure, as functional and anatomical changes are known as a spy for the destruction of your integrity. It was necessary to set the task to establish the correct and effective point of view of the garru of nutritional information about the sphincter rosters.

S. A. Rodkina in her candidate dissertation, Vikonanoi in our class, in the result of the destruction of the sphincter's anus as a result of surgery, as well as injuries in peacetime. As a result, the distribution of the meat fibers of the last sphincter in one straight line will not ruin the act of defecation, by weakening the sphincter's strength by 10-15%. It is not entirely possible to develop in two directions to a time-consuming non-tampering of gas and wild feces and reduce the sphincter's strength by 30-35%.

External development of the sphinktera in one straight way, to achieve a stable non-trivial gas and feces and a decrease in the sphincter's tone in accordance with the norm. Outside the deterioration of the sphincter's integrity in two and more straightforward, it is necessary to bring the sphinkter into a stable non-tampering intestinal space and non-rotating sphinkter function.

And the results, discarded by S.A. all-child friendly sphinkter with all proctological operations. Navpaki, I am more willing to become a sphinkter, of impairments during operations by the first surgeons, for example, in case of malignant rectal lesions.

Pislya roztinu pararectal fistula at once with a sphinkter Secondary wounds of the rear pass deform like an earring for a wooh. Nastaє chastkovo or more non-trivial intestinal vm_stu. We have been repeatedly magalized to the deformation of usuvati forgive the wedge-like visions. Gliboki shari raani - the edge of the rose sphinkter, were sewn with catgut seams, the wedge edge - with seam seams. Dodatkovo, through the whole of the comrade, the wounds were laid with gliboki, mitts, and shvi.

Unimportant on the price, inevitably there were bad luck. Passed through the anal canal Kalovi masi іnfіkuvali і sold sewing. The growth of suppuration, the divergence of the seams and the establishment of even greater deformities of the sphinkter.

In the past stolіttі Tait-Lowsson(1879) having broken down the simple, a rather far from radical method of weakening the deformation of the sphinkter, having established itself in the line of linear development. Razrіz shkіri roam parallel to the fibers of the sphincter, at the last end of the deformable scar. Sew up the wound in a straight line perpendicular to the line. Rejection of the moments of the operation: 1) through such a growth, it is important in the glybin of good health rose, cicatricial change of the sphinkter's child; 2) to miss the same is real not safe in the information about the wound by the order to pass feces.

Mi in 1963 r proponated noviy method of surgical engagement for usunennya deformation of the sphinkter writing a line yogo development. Razrіz to curb the arcuate, called opucleate, with widely spaced apart, so that the tip of the rim did not reach 1-2 cm to the entrance to the rear passage, and the top of the arc protruded by 1-2 cm from the last form of the scar. In order to make it easier to retract the growths and to make the operative suture out of the anus, it is more beautiful to gnaw at the small flap and less than the infirmity of the wound with fecal masses.

shkirny klapot are prepared. It is especially safe and safe to remove it in the area of ​​cicatricial deformity, so as not to thin it out any more (it is not safe for its necrosis at the stage of stonewalling), do not break it any more during preparation. From the center of the flap with catgut sutures in two surfaces, they are sewn up, cicatricially deformed by the edge of the sphinkter. Shkіrny klapot fixes with seams on a large mice. With success, they were stuck with 6 ailments.

Lack (non-trivial) of the sphinkter nazyvayut povne abo chastkovo porushennya doovilnogo utrimannya fecal mass. More and more people are clinging to such a manifestation: the growing up of the beast of children is meant as a result of both birth and death.

The lack of cooperation of a sphinkter is a serious problem, it is necessary to lead to incapacity. It is very important for the patient to become ill in the social center, pratsyuvati, to be vidnosini. However, it’s a lot of problems to go to the doctor-proctologist with other problems. In vipads, if the patient is more likely to have a small part or outside of a sphinkter, a plastic operation is shown. In case of any symptoms of proctological illness, it is safe to turn to a doctor-proctologist. At the clinic "MedikSit" your problem is seen in a highly professional and most delicate way!

Anal sphinkter. budova

anal sphinkter - tse circular m'yaz, it is most often found in a fast, stisle, viglyadі and relaxed for an hour of bowel cleansing. від її correct robots lie down for a little more. For example, with the normal functioning of the anal sphincter, a person can stream a pose to the body before defecation, as if having such a meal at an unacceptable hour and in an unprecedented moment.

For the first time, the staff of the anal sphinkter is able to keep the trimmates under control and quickly see the changes in the intestines. The unconnected sphinkter is tied to the unbalanced robotic body, which is stored in the inner and outer parts.

The famous anal sphincter is a Kiltsev structure, which folds from the transversely dark muzzles, operating the canal of the anus. Yogo dovzhina is 8-10 cm, and tovshina - 2.5 cm. Transversely, the joint is made from the pubic-rectal joint. The connections of the anal sphincter include the connections of the pediatric ball, the superficial and gliboki muscles.

The muscles of the last anal sphincter have a special receptor. Skin from us can, without any effort, control the flow of feces and their consistency. Defective reaction of the wine as a result quick advices internal vise. Tse to produce before the appearance of the intrarectal vice, and the internal sphincter of the anus to relax.

The robot of the internal anal sphinkters cannot coordinate with their bazhanyam. The anal sphincter is susceptible to rapid and weakening as a result of the rupture of the rectum with feces. The main function of the internal sphinkter is regulatory, there is additional support for the uncontrolled flow of gas and wild feces.

Unsupported sphinkter

Unfamiliarity with the sphinkter can manifest itself:

• when popping an anal sphinkter;

If Lyudin is healthy, your sphinkter can easily overturn or not let go of the name of a gas, something that is not hard in the old state of mind, but in case of chhanni, coughs, and older ones. As long as people do not give in to the control of the processes, we can talk about a small part or outside of the non-trivial anal sphinkter.

Signs of a non-trivial anal sphinkter

To run 3 steps of a non-trivial sphinkter:

• netrimannya gas;
• no gas and wild feces;
• Absolutely uncomfortable with the sphincter of a type of gas-like, rare and solid in place.

Falling along the step of the non-trivial anal sphinkter, or the deterioration of its functions, the problem of the non-triviality of the gas-like, small or solid in place of the intestine, there can be a disruption in the onset of symptoms:

• with a sharp squeeze (including mimic - pid hour channya, for example);
• at active rusi;
• sleep hour;
• in a sitting position;
• in whatever position.

Plastic surgery in case of a non-trivial sphinkter who poklikanі poklikanі poklіkanі vіdlіnі vіtl of the patient of the problem.

Causes of the non-triviality of the anal sphinkter

Nayposhirenisha cause of this disease - traumatic inheritance call-in injection, Including surgery on anal emptying (for example, in the presence of foreign body in the intestine).

In another place, there are inheritances of ill health, which are hostile to the central and periphery nervous systems, Intestinal infections and dysbacteriosis, leading to functional damage to the rectum apparatus.

It also means the growth of anorectal growth. Some of them grew up in the last years of the rock in conjunction with that, but the modern medicine has come for more premature babies, not even earlier.

In addition, injuries or functional damage to the obturator of the rectum does not occur very quickly from the hour to the hour of the vaginal response and from the hour to the floor. Dana group Patients have also significantly improved due to the collapse of the home statistics of health indicators in women and breeds.

A special place in the development of a non-trivial sphinktera gra taka ailment our hour yak haemorrhoids. Tse zhvoryuvannya veda before the post-raztyaguvannya anal sphinkter, especially with the development of hemorrhagic universities.

Diagnostics and treatment of the sphinkter's non-personal

At the clinic "MedikSiti", highly qualified doctors-proctologists for additional new possession from provincial svetovochnikov (sigmoidoscope) should install the feet and form of deficiency of the anal sphinkter, who are an older woman.

As a result, the result is the improvement and the stagnation of the blocking device of the rectum, there is a complex of entries for the improvement of neuro-reflex functionality by therapeutic methods (therapy, massage, electrostimulation, medication).

The price can be seen and as a preoperative preparation, and as a process of updating.

For those who have problems, if the problem of non-adherence in place of your intestine is tied to a functional disposition, conservativelyє basic.

If there is a need for a surgical intervention, she is pummeled, as a rule, with defects of the anal sphincter, plastic surgery is carried out for the correction of defects and a cosmetic effect

Operations with non-trivial anal sphincter

Plastic surgery for lack of anal sphincterі sphincteroplasty- to reach the extensions of the type of surgical assistance.

The need for surgery for such problems as deformity and lack of anal pulp (partly or more often anal non-limiting).

Falling down on the step of non-trivial sphinkter, as well as its character, plastic operations can be more and less invasive. The main method of polyaggio is in surgical correction and reconstruction of a sphinkter and rejuvenation of healthy children on a small tissue, with scarring processes.

The scale of the performed sphincteroplasty, zoom, the triviality of the rehabilitation period (from 2 to 6 months) and the nature of the other plastic surgery may be relevant for 2 years).

It’s even more important to solve this problem before fakhivtsіv. Tse allow you to get out of trouble in the most delicate way, from the use of minimally invasive techniques. At the clinic "MedikSit" there is a great insight in diagnostics and treatment of proctological illnesses. We know that I will help you!