Drain fluid's pH predicts anastomotic leak in colorectal surgery: results of a prospective analysis of 173 patients
| Autor: | Tommaso Giuliani, Alberto Talamini, Enrico Molinari, P. Tedesco, Filippo Tollini, Ernesto Laterza, Paola Pirani, Roberto Sandrini, Stefano Andrianello, Andrea Remo, Francesca Panzeri |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Leak Urology Anastomotic Leak Anastomosis Independent predictor 03 medical and health sciences Prospective analysis 0302 clinical medicine Emergency surgery Humans Medicine Postoperative Period Prospective Studies Colectomy Aged Aged 80 and over Analysis of Variance Receiver operating characteristic business.industry Peritoneal fluid Hydrogen-Ion Concentration Middle Aged Colorectal surgery Body Fluids Elective Surgical Procedures 030220 oncology & carcinogenesis Drainage Female 030211 gastroenterology & hepatology Surgery business |
| Zdroj: | Minerva Chirurgica. 75 |
| ISSN: | 1827-1626 0026-4733 |
| Popis: | BACKGROUND The early risk assessment of anastomotic leak (AL) after colorectal surgery is crucial. Several markers have been proposed, including peritoneal fluid's pH. Aim of the present study is to evaluate the role of drain fluid pH as predictor of AL. METHODS All patients undergoing colorectal surgery from January 2015 to December 2017 were considered eligible. Hartmann procedures, procedures including temporary ileostomy and emergency surgery were excluded. Drain fluid was submitted for pH and chemical-physical assessment on postoperative day 1 (POD1) and postoperative day 3 (POD3). RESULTS Out of 173 patients, those who developed AL showed a lower drain fluid's pH on POD1 and on POD3 compared to patients who did not (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|