MANAGEMENT OF PATIENTS AFTER RECONSTRUCTI VE-RESTORATIVE OPERATIONS ON THE LARGE-INTESTINE

Reconstructive-restorative operations were conducted on the large inte stine in 932 patients. Means of optimization of treatment in the early postoperative period in elderly and old-aged patients, who often have concomitant diseases, must be searched for. The dynamics of energy co nsumption in the early postoperative period was studied in 15 patients . Considerable effectiveness of complex diet including proteins was es tablished during elaboration of individual dosed feeding. The immune s tatus was studied in dynamics in 38 patients; immunomodulation agents lead in most cases to restoration of the reduced immunity indices or h ave a stabilizing effect on them when used both as a preventive and as a therapeutic measure. Percutaneous electrostimulation in the early p ostoperative period proved to be highly effective in arresting the pai n syndrome, removal of functional intestinal paresis and reflex ischur ia.