HIGH-FREQUENCY ELECTROTHERMAL MUCOSECTOMY OF THE RECTAL CUFF IN THE ULCERATIVE COLITIS SURGICAL TREATMENT: RESULTS
https://doi.org/10.33878/2073-7556-2016-0-3-7-12
Abstract
AIM: To advance the rectal cuff mucosectomy method, reducing the risk of residual cuff it is. The aim of biopsy morphological study of rectal tissue were changes tracking dynamics, starting from the mucosectomy moment up to 1.5-2 years after the surgery. METODS: After colproctectomy and J-pouch forming the rectal cuff turnes inside out with mucous layer and high frequency electrothermal mucosectomy performes. Stapling IPAA and protective ileostomy are formed. This method of rectal cuff mucosectomy was performed in 13 patients. AH patients under went rectal cuff biopsy for dynamic pathological examination. RESULTS: During dynamic monitoring there were no clinical evidence of cuff it is in this patients. CONCLUSION: The new surgical treatment method of ulcerative colitis, including colproctectomy, stapled IPAA with protective ileostomy and high-frequency electro thermal mucosectomy of the rectal cuff, allows to completely remove the mucous the rectal cuff, thateliminatesriskofcuffi tisasresidualmanifestationsofulcerativecolitis, both in short- and long-term results. Functional results with out deteriorating.
About the Authors
A. V. Borota
Donetsk National medical university named after M. Gorky
Russian Federation
Russian Federation
I. V. Vasylenko
Donetsk National medical university named after M. Gorky
Russian Federation
Russian Federation
O. O. Borota
Donetsk National medical university named after M. Gorky
Russian Federation
Russian Federation
N. K. Basiyan-Kuhto
Donetsk National medical university named after M. Gorky
Russian Federation
Russian Federation
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Review
For citations:
Borota A.V., Vasylenko I.V., Borota O.O., Basiyan-Kuhto N.K. HIGH-FREQUENCY ELECTROTHERMAL MUCOSECTOMY OF THE RECTAL CUFF IN THE ULCERATIVE COLITIS SURGICAL TREATMENT: RESULTS. Koloproktologia. 2016;(3):7-12. (In Russ.) https://doi.org/10.33878/2073-7556-2016-0-3-7-12
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