Resuscitation after intestinal surgery

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Operations for colorectal cancer

Modern oncology for the treatment of tumors combines several methods.

Among them, the main is the operation for rectal cancer, and additional - chemotherapy, radiation therapy and the use of so-called target substances.

The correct choice of treatment depends largely on the results of the diagnosis.

It is important to find out the type of tumor, its prevalence, histological accessory, degree of differentiation and metastasis, and the presence of complications.

Among the complications, perforation of the intestinal wall by a growing tumor is marked with the development of the inflammatory process, as well as acute obstruction.

Classification of surgical interventions

Operations for colorectal cancer can be divided into

Palliativeaimed at improving the quality of life of the patient, and radical - to remove the developing neoplasm and fight metastases.

The operation for rectal cancer is difficult from the point of view of surgical technique. After all, the organ is located in the depth of the small pelvis and is attached to the sacrum, coccyx and pelvic walls. Near it there are large vessels that deliver blood to the legs, ureters, and nerves that control the work of the sexual and urinary systems.

Several methods of radical surgical interventions have been developed.

Anterior resection

It is performed when the tumors in the upper part of the rectum are localized through an incision in the lower part of the abdomen.

The location of the junction of the rectus and sigmoid colon is removed, as well as adjacent areas to form an anastomosis (joint) of healthy areas.

Low front resection

It is performed in case the tumor touched the middle and lower divisions. Because of the almost complete removal of the rectum, this operation is called total mesorectumectomy and is the standard in the treatment of tumors in this department.

Abdominal crotch extirpation

Until recently it was standard for the treatment of tumors in the lower part of the rectum. It is performed using two incisions - on the stomach and in the perineum and is aimed at removing the rectum, the anal canal and the surrounding muscles (sphincter).

In modern surgery, new techniques have been developed that make it possible to preserve the sphincter, and this operation is less and less common.

Transanal excision

It is performed to remove small tumors found in the lower part. Requires the use of special equipment and tools, allows you to remove a small area of ​​the intestine and save the sphincter. It is carried out without removal of lymph nodes.

How to prepare

The day before the operation with cancer of the rectum, you must clear the intestine. This is due to the fact that entering the peritoneum of bacterial contents of the rectum during surgery can cause suppuration of the postoperative wound, and in severe cases, cause peritonitis.

In addition, with a filled rectum there may be problems with the created anastomosis, the infection of which will lead to the development of inflammation.

The choice of methods of cleaning is carried out by the attending physician, discussing them with the patient.

In the event that the drug does not work or caused vomiting, it is necessary to inform the doctor about it, and not wait for the time of the operation.

When preparing for surgery, you should not stop taking prescribed medications, except for those that your doctor will cancel. It is better to make a schedule of taking medications and fluids on the day before the operation and follow it exactly.

Rehabilitation

Restoration of the body after surgery begins in intensive care. The first day or two patients spend precisely there, moving away from anesthesia under the constant supervision of the staff. This allows you to quickly stop the complications that arise and, if necessary, carry out a second operation.

The patient should spend the second-fourth day in bed, gradually starting to sit down. Eating after the operation should be easy, consist of their semi-liquid cereals, wiped soups with low fat content, fermented milk, yogurt, baby food. From the fifth day it is allowed to get out of bed and start moving independently.

To maintain the intestinein the necessary for the healing position it is necessary to wear a bandage. It reduces the load on the muscles of the abdominal press, and also provides the necessary pressure in the abdominal cavity, which contributes to the rapid healing of postoperative sutures.

Diet after discharge from the hospital is aimed at reducing the load on the digestive tract. It excludes fresh fruits and vegetables, high-fiber foods, large-scale dishes, fatty, fried, smoked foods that are extremely irritating and stressful to the intestines.

Helmut Kohl - in intensive care after an operation on the intestine

Former German Chancellor Helmut Kohl is in intensive care at the University Hospital of Heidelberg after three weeks ago he underwent surgery on the intestines. According to Kolya's closest associates. his condition is assessed as critical, and after the operation he could not come to consciousness for a long time. Helmut Kohl served as chancellor from 1982 to 1998. The 85-year-old politician once played an important role in the unification of Germany and Europe ...
READ MORE: http://ru.euronews.com//06/02/germany-former-chancellor-helmut-kohl-in-intensive-care

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