| Autor: |
J M, Zimmermann, B, De Graeve, J F, Coblence, M A, Colonna |
| Jazyk: |
francouzština |
| Rok vydání: |
1989 |
| Předmět: |
|
| Zdroj: |
Medecine tropicale : revue du Corps de sante colonial. 49(4) |
| ISSN: |
0025-682X |
| Popis: |
Diagnosis of the acute sigmoid volvulus is made by opacification of the colon by water-soluble chemicals. Therapeutic attitude is oriented by the results of an emergency colonoscopy. An emergency laparotomy is indicated when the mucosae presents an ischemic or necrotic aspect; a resection without anastomosis is performed according to Bouilly-Volkman's intervention in the best cases, Hartman's one in others. A normal colonoscopy authorizes a medical treatment with attempt of detorsion by passage of a flatus tube per rectum. A controlled success permits a delayed intervention ten days after with resection and anastomosis. Failure of medical treatment returns the surgical approach in emergency circumstances] |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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