Klinik fanlar yilnomasi 3-том 1-нөмір (2026)
COMPARATIVE EFFECTIVENESS OF AN IMPROVED INTRAOPERATIVE COMPLEX FOR PREVENTING COMPLICATIONS OF GASTROINTESTINAL STOMATES
Сапаев Дилшад Аминович, Юнусов Руслан Хайруллаевич
Аңдатпа
The purpose of the study: to compare the effectiveness of an improved intraoperative complex to prevent complications of intestinal stoma with the standard stoma insertion technique in patients. Materials and methods: a controlled comparative cohort study was conducted in 260 patients aged ≥18 years who had an ileostomy or colostomy formed during open/laparoscopic gastrointestinal surgeries. Results: stoma retractions up to 30 days are less common in the main group: 3.0% (4/132) and 9.4% (12/128), RR=0.32; p=0.040. Any early stomal complications: 35.2% versus 18.9%, RR=0.54; p=0.003. Severe complications (Clavien–dindo ≥III): 2.3% and 8.6%, RR=0.26; p=0.028. Conclusion: an extended intraoperative complex is a repeatable and clinically effective method of reducing the frequency of retractions and parastomal hernia compared to the standard technique with an average increase in the time of the stoma stage.
intestinal stoma; colostoma; ileostoma; stomal complications; stomal retraction; parastomal hernia; prevention; surgical techniqueкишечная стома; колостома; илеостома; стомальные осложнения; ретракция стомы; парастомальная грыжа; профилактика; хирургическая техникаichak stomasi; kolostoma; ileostoma; stomal asoratlar; stoma retraktsiyasi tortib olish; parastomal churra; oldini olish; jarrohlik texnikasi.
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