Evaluation of the efficiency of controlled decompressed intestinal stoms in generalized peritonitis

Prevention and treatment of intestinal paresis in peritonitis surgery is of great importance. To do this, after sanitation of the abdominal cavity, indications for drainage of the gastrointestinal tract are determined. With various resections of the intestine in order to eliminate intestinal paresis and prevent intestinal anastomoses, various intestinal stomas are superimposed, which are removed surgically after a certain time after surgery. Based on the analysis of the results of surgical treatment of 25 patients who underwent various resections of the intestine with the imposition of temporary stomas for decompression of the intestine against the background of widespread purulent peritonitis, the effectiveness of the proposed controlled intestinal stomas was determined. The article presents the stages of applying a controlled ileostomy or colostomy. There were no complications associated with the colostomy in the postoperative period. With the proposed technique, the stoma closed independently, and therefore there was no need for repeated surgical intervention.