Intra-operative colonic irrigation in the management of left-sided large bowel emergencies
| Autor: | N. M. Koruth, Zygmunt H Krukowski, J. R. C. Logie, A. Munro, G. G. Youngson, Peter F. Jones, W. S. Hendry |
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| Rok vydání: | 1985 |
| Předmět: |
Adult
Male medicine.medical_specialty Intra operative Adolescent Colon medicine.medical_treatment Perforation (oil well) Anastomosis Peritonitis Left sided Colonic Diseases Intraoperative Period medicine Humans Therapeutic Irrigation Aged business.industry Colonic irrigation Colostomy Bowel resection Middle Aged Surgery Anastomotic leakage Intestinal Perforation Anesthesia Emergencies business Intestinal Obstruction |
| Zdroj: | The British journal of surgery. 72(9) |
| ISSN: | 0007-1323 |
| Popis: | In a consecutive series of 93 patients who required emergency surgery for distal colonic lesions, 61 had primary bowel resection with immediate anastomosis after intra-operative antegrade colonic irrigation. The operative mortality was 8 per cent, anastomotic leakage rate 7 per cent and superficial wound infection occurred in 3 per cent of patients. The mean hospital stay was 13 days. Of the remaining 32 patients, 3 did not have a resection and 29 had a primary resection and end colostomy without anastomosis: bowel continuity was later restored in 17 of 28 survivors (61 per cent) but 11 (39 per cent) were left with a permanent colostomy. The hospital mortality in this group was 6 per cent, superficial wound infection rate 14 per cent and the mean hospital stay 26 days. The results of this study suggest that intra-operative colonic irrigation is an effective method enabling the surgeon to perform a primary anastomosis with reasonable safety after emergency resection of selected distal colonic lesions. |
| Databáze: | OpenAIRE |
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