The effect of diverting colostomy on anastomotic healing after resection of left colon obstruction
| Autor: | H. Jiborn, Törnqvist A, B. Zederfeldt, P. Blomquist |
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| Rok vydání: | 1990 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Anastomosis Colonic Diseases Surgical anastomosis Postoperative Complications Internal medicine Colostomy Occlusion medicine Animals Wound Healing business.industry Anastomosis Surgical Gastroenterology Rats Inbred Strains Hepatology medicine.disease Rats Diverting colostomy Surgery Stenosis Collagen Complication business Intestinal Obstruction |
| Zdroj: | International Journal of Colorectal Disease. 5:167-169 |
| ISSN: | 1432-1262 0179-1958 |
| DOI: | 10.1007/bf00300412 |
| Popis: | A standardized stenosis of the left colon was created in the rat model. After four days the stenosis was resected and a primary anastomosis made. Half of the animals (n = 21) were randomized to a proximal diverting colostomy and the other half to a non-colostomy control group. On postoperative days two and seven anastomotic complications were recorded and anastomotic strength was determined. Collagen content in the anastomotic area was measured. In the colostomy group no anastomotic complications occurred, while 6/21 (29%) animals in the non-colostomy group had complications. On day two there was no difference between the groups as regards anastomotic strength and collagen content. After a week, however, the control group showed a significant increase in both anastomotic strength and collagen content which was not observed in the colostomy group. The absence of increase in anastomotic strength in the colostomy group had no adverse effect on anastomotic healing, as judged by complications. Thus, a diverting colostomy may be of value in reducing anastomotic complications after resection of a left colon obstruction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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