Sphincter modelling methods in formation of end colostomy

This article is devoted to the problem of choosing the optimum way of end colostomy creation in colorectal cancer patients. Uncontrollable colostomy function, possibility of paraostomy complications are significant negative factors decreasing the quality of life. The problem is not only in uncontrollable functioning of the ostomy, but in inability to feel coming defecation. Results of various techniques of ostomy creation were studied and compared with proposed technique of a neosphincter creation after obstructive resections of colon and rectum. Frequency, duration of depletion, need of application of laxative preparations and cleaning enemas were studied. It was shown, that the development of postoperative paraostomy complications depends on the way of its creation. The offered way of colostomy formation using sphincter modelling technique allows us to decrease postoperative complications rate and considerably improve the quality of patients’ life.

colorectal cancer, colostomy, sphincter modelling technique