The Colostomy of Duret for the High Risk Patient
Autor: | Jody C. DiGiacomo, Mark Lehman |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: | |
Zdroj: | Journal of Investigative Surgery, Vol 34, Iss 3, Pp 257-261 (2021) |
Druh dokumentu: | article |
ISSN: | 0894-1939 1521-0553 08941939 |
DOI: | 10.1080/08941939.2019.1623350 |
Popis: | Background: Heitzer and Duret described the surgical creation of colostomy in the 1700s, more than a century before the introduction of anesthesia. With the ever increasing degree of frailty in patients of advanced age who require surgical intervention, a simplified methodology for the creation of a colostomy based on their original reports is described and the advantages for use in high risk patients and the critical care setting is discussed. Methods: Eleven patients underwent simplified colostomy under local anesthesia, without complication. Results: All colostomies functioned normally within hours. There were no bleeding or infectious complications, nor peri-operative adverse events. Conclusions: Colostomy formation can be safely performed under local anesthesia when the patient is considered too high risk to undergo general anesthesia. |
Databáze: | Directory of Open Access Journals |
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