The Possibilities of Conservative Treatment in Patients with External Colonic Fistulas


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Abstract

Among patients with severe surgical diseases of abdominal cavity, the patients with external intestinal fistulas have a special place, and the problem of their treatment is to date not resolved.
Aim of study: development and implement a safe and effective method for conservative treatment in patients with colonic fistula.
Materials and methods In surgical departments 422 Military Hospital of the Defense Ministry and the City Hospital №35 of Nizhny Novgorod. The study included 22 patients with colonic fistulas 3 types of V.I.Belokonev score. In the first group (n = 8) used an original method of medical treatment, including the use nitrogen monoxide flow and EHF - radiation (RF patent №2538175). In the second group (n = 14) did not use the above procedure. Both groups of patients were comparable in age, sex, primary and comorbidity. In statistical analysis, we use the Mann - Whitney test.
Results Closure time of fistulas were significantly low in the first group than the second group (25.38 ± 4.07 and 38.64 ± 3.84 days, respectively, p = 0.0001). In the first group did not require surgical intervention and general anesthesia (p = 0.02). Application of the method discussed in the framework of this study, it seems more reasonable to colonic fistula. Content passage violation is far less important in colonic fistula etiology and pathogenesis. Therefore, in this group of patients the conservative treatment should be used much as possible.
Conclusion. Application of the nitrogen monoxide flow and EHF - therapy is an effective component of conservative treatment in patients with colonic fistulas external three types of V.I.Belokonev score. This reduces treatment time and surgery frequency

About the authors

Nizhny Novgorod State Medical Academy, Minin and Pozharsky square, 10/1, Nizhny Novgorod, 603005,
Russian Federation;
City Hospital №35 Nizhny Novgorod, street Respublikanskaya, 47, Nizhny Novgorod, 603005

Author for correspondence.
Email: pv1610@mail.ru
MD, Professor, Department of hospital surgery named after. B.A.Korolyov, the  surgeon, the anesthesiologist of City Hospital No. 3

422 Military Hospital of the Ministry of Defense of the Russian Federation, Izhorskaya str., 25, Nizhny
Novgorod, 603005, Russian Federation

Email: mail@vestnik-surgery.com
 PhD, associate Professor, surgeon of the surgical Department of the Military Hospital 422

City Hospital №35 Nizhny Novgorod, street Respublikanskaya, 47, Nizhny Novgorod, 603005

Email: mail@vestnik-surgery.com
PhD in medical Sciences, surgeon of surgical branch of 422 Military Hospital, surgeon of the City Hospital №35

City Hospital №35 Nizhny Novgorod, street Respublikanskaya, 47, Nizhny Novgorod, 603005

Email: mail@vestnik-surgery.com
head of the surgical Department of city hospital No. 35

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