OPTIMIZATION OF THE TREATMENT OF PARACOLOSTOMY INFLAMMATORY COMPLICATIONS

Berch Ekaterina Dmitrievna, Smolkina Antonina Vasilievna, Kartashev Alexander Alexandrovich, Belova Svetlana Viktorovna, Filippova Svetlana Ivanovna

The paper presents clinical material concerning 246 patients who were on outpatient treatment in the office of stomatological patients on the basis of the Ulyanovsk Regional Clinical Center for Specialized Types of Medical Care named after Honored Physician E.M. Chuchkalov from 2019 to 2021, where the clinical base of surgical departments of the T.Z. Biktimirov Medical Faculty of Ulyanovsk State University is located, having paracolostomy complications in the form of fistulas and dermatitis. The authors have developed an original method for healing and preventing inflammatory complications after colostomy removal, which consists in the fact that after removing the suppurated suture material or tube for fixing the stoma, the affected areas are washed with an antiseptic solution and after which the affected areas are soaked with gauze napkins to complete, if possible, dryness in the wound. Then a powder mixture consisting of modified cotton cellulose and sulfonamide in a ratio of 1:1 is prepared. A mixture of powders is distributed around the stoma to the affected areas, and rehabilitation products are glued on top. The average period of complete healing of fistulas in the first group, according to the authors' method, was 21.4±5.4 days, in the second - 28.8±8.4 (p<0.05).

Keywords:colostomy, intestinal anastomoses, paracorlostomy complications, parastomal dermatitis, paracolostomy fistula.