From Big Medical Encyclopedia

TsEKOSTOMYYa (Latin caecum a caecum - f-Greek stoma of companies, an opening, pass; a synonym a typhlostomy) — the surgery consisting in imposing of outside fistula on a caecum.

It was applied after a resection of various departments of a large intestine at uncertainty in reliability of an anastomosis. In a crust, time of C. it is used seldom, mainly in cases when it is impossible to execute colostomy (see).

Training of the patient for operation same, as well as at other a large intestine operations (see Intestines, operations). Position of the patient on the operating table on spin. C. it can be executed as under local anesthesia, and under anesthetic. After a laparotomy (see) in the right ileal area take a dome of a caecum and fingers fik-

sirut it in a wound. On a front wall of a caecum put a purse-string catgut stitch. The center of this seam punctures a wall of a gut with a scalpel and enter it into a gleam thick (1 — 1,5 cm in the diameter) a rubber tube. The wall of a gut is hemmed to a tube one catgut seam. Then the tube is immersed in a gleam of a caecum together with the wall which is turned inside, tightened and tie a purse-string seam. The parietal peritoneum is hemmed to a dome of a caecum and layer-by-layer take in a front abdominal wall. Through the tube which is in a caecum, delete with a suction intestinal contents. In the postoperative period the caecum through the rubber tube sewed in it in each 6 — 8 hours is washed out solutions of antiseptic agents or antibiotics. In the rest of the time the end of a tube shall be in a large bottle with antiseptic solution, to-ruyu suspend to a bed of the patient. Skin seams remove on 8 — the 10th day after operation. After removal of a tube fistula of a caecum can independently be closed. Sometimes its closing requires an operative measure.

G. A. Pokrovsky.