[Effectiveness of preserving large intestinal segments in surgical treatment of proliferative diffuse polyposis].

Among 390 patients who were operated on in the Research Institute of Proctology for the proliferative form of diffuse polyposis, 242 underwent various types of operations in which polyp-free segments of the large intestine were not resected. In the first 5 postoperative years all 242 patients were examined, in follow-up periods of 6 to 10 years 144 patients (59.5%), in periods of 11 to 15 years 88 patients (36.

[Comparative characteristics of various types of operations performed in treatment of diffuse colonic polyposis].

Diffuse polyposis of the large intestine characterized by the development of multiple polyps in it and their subsequent malignant degeneration is one of the most severe disease of the gastrointestinal tract. That it must be treated by surgery needs no proof. However, the volume and the character of the surgical intervention on the large intestine is still a debatable problem.

[The possibility of performing reconstructive-restorative operations in patients with a permanent ileostomy].

An analysis of 69 patients after colectomy with abdomino-anal resection of the rectum for diffuse polyposis was made for the estimation of possibilities to carry out reconstructive-restorative operations with the creation of pelvic small intestine reservoirs. The indications and contraindications for performing such reconstructive operations, main criteria were determined which allowed to estimate the possibility of performing surgical interventions on patients with permanent ileostomy. The significance of each of the criteria is shown for solution of the question of possible performing reconstructive-restorative operations with the formation of pelvic intestinal reservoirs after the previously performed resection of the colon.