RISK FACTORS OF COMPLICATIONS IN RECONSTRUCTIVE OPERATIONS AFTER HARTMANN PROCEDURE
https://doi.org/10.33878/2073-7556-2016-0-3-37-42
Abstract
The aim of this work was to analyze early postoperative complications after restoration of bowel continuity in patients which undergone Hartmann procedure for tumor intestinal obstruction and to identify risk factors of complications. 192 patients were included in retrospective study. Early postoperative complications occurred in 18 (9,4%) patients. Univariate analysis showed that COPD increased the risk of complications in 1,7 times (p=0,044), history of septic complications at the previous surgery - in 4,3 times (p=0,011), the third grade of severity of intraperitoneal adhesions in comparison with the 1st grade - in 9,7 times (p=0,001). Multivariable analysis showed that the hazard ratio in patients with complications during the first operation was 4,3 (CI 1,7-23,3, p=0,021), and in patients with the 3d degree of adhesions of 7,5 (CI 1,3 to 15,6, p=0,001).
About the Author
V. I. Pomazkin
Sverdlovsk Regional Clinical Hospital fow War Veterans
Russian Federation
Russian Federation
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Review
For citations:
Pomazkin V.I. RISK FACTORS OF COMPLICATIONS IN RECONSTRUCTIVE OPERATIONS AFTER HARTMANN PROCEDURE. Koloproktologia. 2016;(3):37-42. (In Russ.) https://doi.org/10.33878/2073-7556-2016-0-3-37-42
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