Sheianov S D, Tsybuliak G N
Vestn Khir Im I I Grek. 1997;156(5):41-7.
On the basis of a retrospective analysis of results of treatment of 1097 patients with wounds and injuries of the colon of the peace and war time as well as of experiments in 160 dogs it has been established that the level of lethal outcomes and amount of complications are dependent on the size, number and localization of the colon wounds, severity of peritonitis by the moment of primary operation, degree of traumatic shock, blood loss volume, severity of the coexisting injuries and the chosen method of surgical treatment. A classification of the wounds according to the volume of injuries of the colon is proposed. Different variants of surgical treatment and outcomes are considered. Experiments in dogs have shown the indisputable effectiveness of precise one-row sero-musculo-submucous sutures with the present-day sutural material as compared with other methods of treatment of wounds of the colon. The peritoneal sorption with liquid colloid sorbents at the early postoperative period facilitate the prophylaxis and treatment of peritonitis, reduce lethality. A surgical classification of injuries of the colon is developed and types of operative interventions are recommended.
基于对1097例和平时期及战时结肠创伤患者的治疗结果进行回顾性分析，以及对160只犬进行的实验，已确定致死率和并发症数量取决于结肠伤口的大小、数量和位置、初次手术时腹膜炎的严重程度、创伤性休克的程度、失血量、并存损伤的严重程度以及所选择的手术治疗方法。提出了根据结肠损伤程度对伤口进行的分类。考虑了手术治疗的不同方案及结果。犬实验表明，与其他结肠伤口治疗方法相比，使用当今缝合材料进行精确的单层浆肌层-黏膜下层缝合具有无可争议的有效性。术后早期使用液体胶体吸附剂进行腹膜吸附有助于预防和治疗腹膜炎，降低死亡率。制定了结肠损伤的手术分类并推荐了手术干预类型。
