[Reconstructive surgery of the colon and rectum following war injuries].

The results were presented of the retrospective analysis of the treatment of 116 patients' with colostomies following war injuries. Reconstructive operations were performed on these patients between November 1 1991 and November 1 1994. Operations were performed on 8 patients with caecostomy, 47 with transversocolostomy, 45 with colostomy on the descendant and sigmoid colon and on 16 patients with Hartmann procedure. The average age of patients was 33.77 years. The occlusion of colostomy was performed in 81 patients, and in 19 of them the resection with T-T anastomosis was done with difficulties due to technical problems caused by adhesions, ventral hernias, defects of mesenterium and abdominal wall. Occlusion was also performed in 16 patients with Hartmann procedure. The complications encountered were: ileus in three patients, stercoral fistula in 3 (healed with conservative therapy), dehiscence of anastomosis in 1 patient (cured after reoperation, exteriorization of both ends of colon), and wound infections in 21 patients. There was no lethal outcomes.