gnckКолопроктологияKoloproktologia2073-75562686-7303Russian Association of Coloproctology10.33878/2073-7556-2022-21-3-111-118gnck-1719Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWВыбор объема адгезиолизиса при реконструктивно-восстановительных операциях у больных с одноствольными колостомами (обзор литературы)Peritoneal adhesiolysis for end colostomy takedown (review)https://orcid.org/0000-0001-9780-7916СушковО. И.SushkovO. I.

ул. Саляма Адиля, д. 2, г. Москва, 123423

Oleg I. Sushkov

Salyama Adilya str., 2, Moscow, 123423

https://orcid.org/0000-0001-7964-2126ШахматовД. Г.ShakhmatovD. G.

ул. Саляма Адиля, д. 2, г. Москва, 123423

Dmitriy G. Shakhmatov

Salyama Adilya str., 2, Moscow, 123423

https://orcid.org/0000-0002-3038-1524МоскалевА. И.MoskalevA. I.

ул. Саляма Адиля, д. 2, г. Москва, 123423

Aleksey I. Moskalev

Salyama Adilya str., 2, Moscow, 123423

https://orcid.org/0000-0001-8494-8840ШунинЕ. М.ShuninE. M.

Шунин Егор Михайлович

ул. Саляма Адиля, д. 2, г. Москва, 123423тел.: +7 (499) 199-93-08

Egor M. Shunin

Salyama Adilya str., 2, Moscow, 123423

egoryanddisk@yandex.ruФГБУ «НМИЦ колопроктологии имени А.Н. Рыжих» Минздрава РоссииРоссияRyzhikh National Medical Research Center of ColoproctologyRussian Federation202221092022213111118Copyright © Сушков О.И., Шахматов Д.Г., Москалев А.И., Шунин Е.М., 20222022Сушков О.И., Шахматов Д.Г., Москалев А.И., Шунин Е.М.Sushkov O.I., Shakhmatov D.G., Moskalev A.I., Shunin E.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ruproctology.com/jour/article/view/1719

Операции ликвидации одноствольных кишечных стом относятся к технически сложным и сопровождаются высоким уровнем осложнений. Один из ведущих факторов риска при этом — необходимость разделения спаек и рубцов брюшной полости для обеспечения адекватного доступа к анастомозируемым отделам толстой кишки, что часто приводит к десерозированию кишечника, вскрытию просвета полых органов и отсроченным перфорациям. В настоящее время остается нерешенным вопрос, существует ли необходимость полного адгезиолизиса при операциях ликвидации концевых кишечных стом или же более целесообразно минимизировать его объём? Современная специальная литература представлена в основном нарративными обзорами, единичными обсервационными и экспериментальными исследованиями, а выводы основываются, преимущественно, на экспертном мнении авторов. Существует необходимость проверки выдвинутых гипотез путем проведения проспективного рандомизированного исследования.

Reversal after Hartmann’s procedures is technically challenging and followed by high morbidity rate.

One the main risk factors of complications is need to dissect peritoneal adhesions for optimal access to large bowel, which leads to bowel deserosing, intestine lumen opening and late perforation. Meanwhile, the question remains unresolved: is there a need for total adhesiolysis during operations for end colostomy takedown, or is it more appropriate to minimize its volume? Recent literature data are presented by narrative reviews, single observational and experimental studies. Options for decision making are based on experts’ opinion. There is a strong need to test hypotheses by prospective randomized study.

адгезиолизисликвидация колостомыоперация Гартманаспаечный процессспайкиadhesiolysisstoma takedownHartmann procedureadhesive processadhesionsReferencesАчкасов С.И., Воробьев Г.И., Жученко А.П. и соавт. Лапароскопически ассистированные реконструктивно-восстановительные операции у больных с одноствольной колостомой. Колопроктология. 2009;4:21–26.Achkasov S.I., Vorobyev G.I., Zhuchenko A.P, et al. Laparoscopically assisted reconstructive surgery in patients with end colostomy. Koloproktologia. 2009;4:21–26. (in Russ.).Guerra F, Coletta D, Del Basso C, et al. Conventional Versus Minimally Invasive Hartmann Takedown: A Meta-analysis of the Literature. World J Surg. 2019;43(7):1820–1828. doi: 10.1007/s00268-019-04962-8Guerra F, Coletta D, Del Basso C, et al. Conventional Versus Minimally Invasive Hartmann Takedown: A Meta-analysis of the Literature. World J Surg. 2019;43(7):1820–1828. doi: 10.1007/s00268-019-04962-8Hallam S, Mothe BS, Tirumulaju R. Hartmann’s procedure, reversal and rate of stoma-free survival. Ann R Coll Surg Engl. 2018;100(4):301–307. doi: 10.1308/rcsann.2018.0006Hallam S, Mothe BS, Tirumulaju R. Hartmann’s procedure, reversal and rate of stoma-free survival. Ann R Coll Surg Engl. 2018;100(4):301–307. doi: 10.1308/rcsann.2018.0006Whitney S, Gross BD, Mui A, et al. Hartmann’s reversal: factors affecting complications and outcomes. Int J Colorectal Dis. 2020;35(10):1875–1880. doi: 10.1007/s00384-020-03653-4Whitney S, Gross BD, Mui A, et al. Hartmann’s reversal: factors affecting complications and outcomes. Int J Colorectal Dis. 2020;35(10):1875–1880. doi: 10.1007/s00384-020-03653-4Horesh N, Rudnicki Y, Dreznik Y, et al. Reversal of Hartmann’s procedure: still a complicated operation. Tech Coloproctol. 2018;22(2):81–87. doi: 10.1007/s10151-017-1735-4Horesh N, Rudnicki Y, Dreznik Y, et al. Reversal of Hartmann’s procedure: still a complicated operation. Tech Coloproctol. 2018;22(2):81–87. doi: 10.1007/s10151-017-1735-4Banerjee S, Leather AJ, Rennie JA, et al. Feasibility and morbidity of reversal of Hartmann’s. Colorectal Dis. 2005;7(5):454–9. doi: 10.1111/j.1463-1318.2005.00862.xBanerjee S, Leather AJ, Rennie JA, et al. Feasibility and morbidity of reversal of Hartmann’s. Colorectal Dis. 2005;7(5):454–9. doi: 10.1111/j.1463-1318.2005.00862.xGiuseppe R, Nicolò Id F, Serafino M, et al. Laparoscopic reversal of Hartmann’s procedure: A single-center experience. Asian J Endosc Surg. 2019;12(4):486–491. doi: 10.1111/ases.12659Giuseppe R, Nicolò Id F, Serafino M, et al. Laparoscopic reversal of Hartmann’s procedure: A single-center experience. Asian J Endosc Surg. 2019;12(4):486–491. doi: 10.1111/ases.12659Choi BJ, Jeong WJ, Kim YK, et al. Single-port laparoscopic reversal of Hartmann’s procedure via the colostomy site. Int J Surg. 2015;14:33–7. doi: 10.1016/j.ijsu.2014.12.026Choi BJ, Jeong WJ, Kim YK, et al. Single-port laparoscopic reversal of Hartmann’s procedure via the colostomy site. Int J Surg. 2015;14:33–7. doi: 10.1016/j.ijsu.2014.12.026Lucchetta A, De Manzini N. Laparoscopic reversal of Hartmann procedure: is it safe and feasible? Updates Surg. 2016;68(1):105–10. doi: 10.1007/s13304-016-0363-2Lucchetta A, De Manzini N. Laparoscopic reversal of Hartmann procedure: is it safe and feasible? Updates Surg. 2016;68(1):105–10. doi: 10.1007/s13304-016-0363-2Roig JV, Cantos M, Balciscueta Z, et al. Hartmann’s operation: how often is it reversed and at what cost? A multicentre study. Colorectal Dis. 2011;13(12):e396–402. doi: 10.1111/j.1463-1318.2011.02738.xRoig JV, Cantos M, Balciscueta Z, et al. Hartmann’s operation: how often is it reversed and at what cost? A multicentre study. Colorectal Dis. 2011;13(12):e396–402. doi: 10.1111/j.1463-1318.2011.02738.xRoyo-Aznar A, Moro-Valdezate D, Martín-Arévalo J, et al. Reversal of Hartmann’s procedure: a single-centre experience of 533 consecutive cases. Colorectal Dis. 2018;20(7):631–638. doi: 10.1111/codi.14049Royo-Aznar A, Moro-Valdezate D, Martín-Arévalo J, et al. Reversal of Hartmann’s procedure: a single-centre experience of 533 consecutive cases. Colorectal Dis. 2018;20(7):631–638. doi: 10.1111/codi.14049Tabibian N, Swehli E, Boyd A, Umbreen A, et al. Abdominal adhesions: A practical review of an often overlooked entity. Ann Med Surg (Lond). 2017;15:9–13. doi: 10.1016/j.amsu.2017.01.021Tabibian N, Swehli E, Boyd A, Umbreen A, et al. Abdominal adhesions: A practical review of an often overlooked entity. Ann Med Surg (Lond). 2017;15:9–13. doi: 10.1016/j.amsu.2017.01.021Menzies D, Ellis H. Intestinal obstruction from adhesions — how big is the problem? Ann R Coll Surg Engl. 1990;72(1):60–3. PMID: 2301905.Menzies D, Ellis H. Intestinal obstruction from adhesions — how big is the problem? Ann R Coll Surg Engl. 1990;72(1):60–3. PMID: 2301905.Zühlke HV, Lorenz EM, Straub EM, et al. Pathophysiologie und Klassifikation von Adhäsionen [Pathophysiology and classification of adhesions]. Langenbecks Arch ChirSuppl II Verh Dtsch Ges Chir. 1990:1009–16. German. PMID: 1983476Zühlke HV, Lorenz EM, Straub EM, et al. Pathophysiologie und Klassifikation von Adhäsionen [Pathophysiology and classification of adhesions]. Langenbecks Arch ChirSuppl II Verh Dtsch Ges Chir. 1990:1009–16. German. PMID: 1983476Goldstone R. Cleveland Clinic Illustrated Tips and Tricks in Colon and Rectal Surgery, Annals of Surgery. 2020. doi: 10.1097/SLA.0000000000004359Goldstone R. Cleveland Clinic Illustrated Tips and Tricks in Colon and Rectal Surgery, Annals of Surgery. 2020. doi: 10.1097/SLA.0000000000004359Шалмагамбетов М.С. Прогнозирование и профилактика послеоперационного адгезиогенеза брюшины (экспериментально-клиническое исследование). Диссертация на соискание ученой степени канд. мед. наук. Башкирский государственный медицинский университет. Уфа, 2019.Shalmagambetov M.S. Prognosis and prevention of postoperative peritoneal adhesiogenesis (experimental clinical study). Dissertation for the degree of Candidate of Medical Sciences. Bashkir State Medical University. Ufa, 2019. (in Russ.).Kavic SM, Kavic SM. Adhesions and adhesiolysis: the role of laparoscopy. JSLS. 2002;6(2):99–109. PMID: 12113430Kavic SM, Kavic SM. Adhesions and adhesiolysis: the role of laparoscopy. JSLS. 2002;6(2):99–109. PMID: 12113430Vrijland WW, Jeekel J, van Geldorp HJ, et al. Abdominal adhesions: intestinal obstruction, pain, and infertility. Surg Endosc. 2003;17(7):1017–22. doi: 10.1007/s00464-002-9208-9Vrijland WW, Jeekel J, van Geldorp HJ, et al. Abdominal adhesions: intestinal obstruction, pain, and infertility. Surg Endosc. 2003;17(7):1017–22. doi: 10.1007/s00464-002-9208-9Brüggmann D, Tchartchian G, Wallwiener M, et al. Intra-abdominal adhesions: definition, origin, significance in surgical practice, and treatment options. Dtsch Arztebl Int. 2010;107(44):769–75. doi: 10.3238/arztebl.2010.0769Brüggmann D, Tchartchian G, Wallwiener M, et al. Intra-abdominal adhesions: definition, origin, significance in surgical practice, and treatment options. Dtsch Arztebl Int. 2010;107(44):769–75. doi: 10.3238/arztebl.2010.0769Ten Broek RPG, Krielen P, Di Saverio S, et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg. 2018;13:24. doi: 10.1186/s13017-018-0185-2Ten Broek RPG, Krielen P, Di Saverio S, et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg. 2018;13:24. doi: 10.1186/s13017-018-0185-2Ten Broek RP, Issa Y, van Santbrink EJ, et al. Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis. BMJ. 2013;347:f5588. doi: 10.1136/bmj.f5588Ten Broek RP, Issa Y, van Santbrink EJ, et al. Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis. BMJ. 2013;347:–f5588. doi: 10.1136/bmj.f5588Lee SY, Park KJ, Ryoo SB, et al. Early postoperative small bowel obstruction is an independent risk factor for subsequent adhesive small bowel obstruction in patients undergoing open colectomy. World J Surg. 2014;38(11):3007–14. PMID: 25123175. doi: 10.1007/s00268-014-2711-zLee SY, Park KJ, Ryoo SB, et al. Early postoperative small bowel obstruction is an independent risk factor for subsequent adhesive small bowel obstruction in patients undergoing open colectomy. World J Surg. 2014;38(11):3007–14. PMID: 25123175. doi: 10.1007/s00268-014-2711-zHusarić E, Hasukić Š, Hotić N, Halilbašić A, et al. Risk factors for post-colectomy adhesive small bowel obstruction. Acta Med Acad. 2016;45(2):121–127. PMID: 28000487. doi: 10.5644/ama2006-124.167Husarić E, Hasukić Š, Hotić N, Halilbašić A, et al. Risk factors for post-colectomy adhesive small bowel obstruction. Acta Med Acad. 2016;45(2):121–127. PMID: 28000487. doi: 10.5644/ama2006-124.167Филенко Б.П., Земляной В.П., Борсак И.И., и соавт. Спаечная болезнь: профилактика и лечение. Санкт-Петербург, 2013.Filenko B.P., Zemlyanoi V.P., Borsak I.I., et al. Adhesive disease: prevention and treatment. Saint Petersburg, 2013. (in Russ.).Coccolini F, Ansaloni L, Manfredi R, et al. Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgery. World J Emerg Surg. 2013;8(1):6. doi: 10.1186/1749-7922-8-6Coccolini F, Ansaloni L, Manfredi R, et al. Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgery. World J Emerg Surg. 2013;8(1):6. doi: 10.1186/1749-7922-8-6Fugazzola P, Coccolini F, Nita G, et al. Validation of peritoneal adhesion index as a standardized classification to universalize peritoneal adhesions definition. Journal of Peritoneum (and Other Serosal Surfaces). 2017; 2(2). doi: 10.4081/joper.2017.61Fugazzola P, Coccolini F, Nita G, et al. Validation of peritoneal adhesion index as a standardized classification to universalize peritoneal adhesions definition. Journal of Peritoneum (and Other Serosal Surfaces). 2017; 2(2). doi: 10.4081/joper.2017.61Nahirniak P, Tuma F. Adhesiolysis. [Updated 2021 Sep 20]. In: Stat Pearls [Internet]. Treasure Island (FL): Stat Pearls Publishing. 2022 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563219/Nahirniak P, Tuma F. Adhesiolysis. [Updated 2021 Sep 20]. In: Stat Pearls [Internet]. Treasure Island (FL): Stat Pearls Publishing. 2022 Jan. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563219/Strik C, Stommel MWJ, Hol JC, et al. Quality of life, functional status and adhesiolysis during elective abdominal surgery. Am J Surg. 2018;215(1):104–112. doi: 10.1016/j.amjsurg.2017.08.001Strik C, Stommel MWJ, Hol JC, et al. Quality of life, functional status and adhesiolysis during elective abdominal surgery. Am J Surg. 2018;215(1):104–112. doi: 10.1016/j.amjsurg.2017.08.001Tong JWV, Lingam P, Shelat VG, et al. Adhesive small bowel obstruction — an update. Acute Med Surg. 2020;7(1):e587. doi: 10.1002/ams2.587Tong JWV, Lingam P, Shelat VG, et al. Adhesive small bowel obstruction — an update. Acute Med Surg. 2020;7(1):e587. doi: 10.1002/ams2.587Stommel MW, Strik C, ten Broek RP, et al. Impact of Adhesiolysis on Outcome of Colorectal Surgery. Dig Surg. 2016;33(2):83–93. doi: 10.1159/000442476Stommel MW, Strik C, ten Broek RP, et al. Impact of Adhesiolysis on Outcome of Colorectal Surgery. Dig Surg. 2016;33(2):83–93. doi: 10.1159/000442476Wilson MS, Ellis H, Menzies D, et al. A review of the management of small bowel obstruction. Members of the Surgical and Clinical Adhesions Research Study (SCAR). Ann R Coll Surg Engl. 1999;81(5):320–8. PMID: 10645174.Wilson MS, Ellis H, Menzies D, et al. A review of the management of small bowel obstruction. Members of the Surgical and Clinical Adhesions Research Study (SCAR). Ann R Coll Surg Engl. 1999;81(5):320–8. PMID: 10645174.Grafen FC, Neuhaus V, Schöb O, et al. Management of acute small bowel obstruction from intestinal adhesions: indications for laparoscopic surgery in a community teaching hospital. Langenbecks Arch Surg. 2010;395(1):57–63. doi: 10.1007/s00423-009-0490-zGrafen FC, Neuhaus V, Schöb O, et al. Management of acute small bowel obstruction from intestinal adhesions: indications for laparoscopic surgery in a community teaching hospital. Langenbecks Arch Surg. 2010;395(1):57–63. doi: 10.1007/s00423-009-0490-zDi Saverio S, Birindelli A, Broek RT, et al. Laparoscopic adhesiolysis: not for all patients, not for all surgeons, not in all centres. Updates Surg. 2018;70(4):557–561. doi: 10.1007/s13304-018-0534-4Di Saverio S, Birindelli A, Broek RT, et al. Laparoscopic adhesiolysis: not for all patients, not for all surgeons, not in all centres. Updates Surg. 2018;70(4):557–561. doi: 10.1007/s13304-018-0534-4Malik E, Berg C, Meyhöfer-Malik A, et al. Subjective evaluation of the therapeutic value of laparoscopic adhesiolysis: a retrospective analysis. Surg Endosc. 2000;14(1):79–81. doi: 10.1007/s004649900017Malik E, Berg C, Meyhöfer-Malik A, et al. Subjective evaluation of the therapeutic value of laparoscopic adhesiolysis: a retrospective analysis. Surg Endosc. 2000;14(1):79–81. doi: 10.1007/s004649900017Catena F, Di Saverio S, Kelly MD, et al. Bologna Guidelines for Diagnosis and Management of Adhesive Small Bowel Obstruction (ASBO): 2010 Evidence-Based Guidelines of the World Society of Emergency Surgery. World J Emerg Surg. 2011;6:5. doi: 10.1186/1749-7922-6-5Catena F, Di Saverio S, Kelly MD, et al. Bologna Guidelines for Diagnosis and Management of Adhesive Small Bowel Obstruction (ASBO): 2010 Evidence-Based Guidelines of the World Society of Emergency Surgery. World J Emerg Surg. 2011;6:5. doi: 10.1186/1749-7922-6-5Di Saverio S, Coccolini F, Galati M, et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2013 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg. 2013;8(1):42. doi: 10.1186/1749-7922-8-42Di Saverio S, Coccolini F, Galati M, et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2013 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg. 2013;8(1):42. doi: 10.1186/1749-7922-8-42Scott-Coombes DM, Vipond MN, Thompson JN. General surgeons’ attitudes to the treatment and prevention of abdominal adhesions. Ann R Coll Surg Engl. 1993;75(2):123–8. PMID: 8476180.Scott-Coombes DM, Vipond MN, Thompson JN. General surgeons’ attitudes to the treatment and prevention of abdominal adhesions. Ann R Coll Surg Engl. 1993;75(2):123–8. PMID: 8476180.

The authors declare that there are no conflicts of interest present.