THE REASONS FOR THE DEVELOPMENT OF COMPLICATIONS DURING COLONIC ANASTOMOSES

Abstract

Abstract. The article analyzes the literature data on the causes of complications during colonic anastomoses. The problem of the development of postoperative complications associated with anastomosis is quite relevant in colorectal surgery. The frequency of such complications reaches 27.5 %. These include strictures of the anastomosis, bleeding, as well as failure of the anastomotic sutures. Anastomosis failure ranges from 3 to 21 %. Risk factors for the development of anastomosis failure can be classified into preoperative, intraoperative, and postoperative. And also factors related to the surgeon, the patient and the disease. Fundamental study of the influence of these factors on anastomotic healing is the key to minimizing the frequency of complications and improving the outcome of patients with colon pathology.