Kanshin N N
Khirurgiia (Mosk). 1998(10):37-40.
For treatment of two consecutively opened into abdominal cavity perforating fistulas of small bowel in conditions of purulent peritonitis the author successfully used funnel-shaped obturators by Kolchenogov. In the same patients in later adhesive intestinal obstruction, which could not be eliminated by common surgical mode, continuous introduction of semifluid food and intestinal chyme collected from enterostoma (located above the obstruction) were carried out through enterostoma located above the obstruction. After resorption of inflammatory infiltrate bowel continuity was restored. Based on favourable results of treatment for perforation fistulas opening into free abdominal cavity, the author more than once in conditions of purulent peritonitis successfully applied sutureless suspending enterostomies on the catheter of Petzer, which principally is an analogue of the obturator by Kolchenogov, using the same method as in perforation fistulas. Inflamed bowel wall thus is well accreted with abdominal wall, and after withdrawal of catheter by Petzer the developed tubular bowel fistula is rapidly healing spontaneously.
对于在化脓性腹膜炎情况下连续两个小肠穿孔瘘开口进入腹腔的治疗，作者成功使用了科尔切诺戈夫的漏斗形填塞器。在同一批患者后来出现粘连性肠梗阻且无法通过常规手术方式消除时，通过位于梗阻上方的肠造口持续引入从肠造口（位于梗阻上方）收集的半流质食物和肠内容物。炎症浸润吸收后恢复了肠连续性。基于对开口进入游离腹腔的穿孔瘘治疗的良好结果，作者多次在化脓性腹膜炎情况下成功地在佩策导管上应用无缝合悬吊肠造口术，该导管本质上是科尔切诺戈夫填塞器的类似物，采用与穿孔瘘相同的方法。这样发炎的肠壁就与腹壁很好地粘连在一起，在拔出佩策导管后，形成的管状肠瘘会迅速自发愈合。
