ANALYSIS OF THE RESULTS OF SINGLE-LUMEN ILEOSTOMY FORMATION ACCORDING TO THE DEVELOPED CLINICAL METHODOLOGIES FOR ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION

To study the outcomes of treatment using the developed clinical methods for creating single-lumen ileostomies in patients with adhesive intestinal obstruction.

We analyzed the results of treatment in 56 patients with adhesive small bowel obstruction, in whom temporary single-lumen ileostomies were formed according to the clinic’s developed techniques. The stomas were performed using two methods, which aimed to simplify the reconstructive stage and allow for stoma closure via local access without resorting to median laparotomy.

Out of these 56 operated patients, 42 (75,0%) had their single-lumen ileostomies formed following resections of extensive adhesive conglomerates situated in the ileocecal region, while in 14 cases (25,0%), the stomas were created after resections of non-viable bowel loops due to strangulation and peritonitis. In the postoperative period, 4 patients (7,1%) developed inflammatory complications in the form of abscesses in the surgical wounds. No parastomal complications or adverse outcomes were observed. The reconstructive and restorative stage via local access was completed for all patients within 1,5 to 2,5 months. One case (1,8%) experienced wound suppuration at the mini- laparotomy site. Another patient (1,8%) developed early postoperative signs of adhesive small bowel obstruction, which were managed conservatively. The average duration of hospital stay after reconstructive surgeries was 5.5 ± 2.3 days.

he methods developed in our clinic for forming single-lumen ileostomies are characterized by their technical simplicity, enable the reconstructive stage to be performed via local access, and allow for anastomosis on only half of the intestinal circumference. This approach helps reduce treatment duration, lower the risk of postoperative complications, and promote faster recovery after surgery.