SURGICAL SAVING TECHNOLOGIES IN THE TREATMENT OF SEVERE PSEUDOMEMBRANOUS COLITIS AFTER A NEW CORONAVIRUS INFECTION COVID-19
Pseudomembranous colitis has recently become one of the common complications of antibiotic therapy in patients with severe purulent-septic diseases, including bacterial complications of the new coronavirus infection COVID-19. The fulminant course of antibiotic-associated colitis is accompanied by toxic dilatation of the colon, its perforation, peritonitis and sepsis. The priority operation is subtotal colectomy with the imposition of an ileostomy. However, such a surgical intervention in severe, debilitated patients are characterized by increased traumatism, and, as a consequence, high postoperative mortality, reaching 80%. In a clinical case, a case of treating a patient with severe, recurrent pseudomembranous colitis after suffering a coronavirus infection is presented, in whose surgical treatment a minimum volume of surgical intervention was used. This approach made it possible to effectively stop the phenomena of pseudomembranous colitis and preserve the colon by turning it off from the passage by ileostomy with conducting intraintestinal lavage of the disconnected sections with vancomycin through a drainage inserted in the retrograde direction through an additional superimposed sigmostomy.