Prospective study of primary anastomosis without colonic lavage for patients with an obstructed left colon
British journal of surgery
; 86(10): 1341-1343, October 1999.
Artigo
em Inglês
| MedCarib
| ID: med-17312
Biblioteca responsável:
TT5
Localização: TT5; W1 BR638X
ABSTRACT
BACKGROUND:
Traditionally, left-sided colon obstruction is managed by a multistaged defunctioning colostomy and resection. However, there is growing acceptance of one-stage primary resection and anastomosis with on-table antegrade irrigation. This paper presents a series of patients managed prospectively by primary anastomosis without intraoperative colonic lavage.METHODS:
Emergency resection of acutely obstructed left-sided colonic carcinomas was performed. This was followed by primary anastomosis without on-table lavage after bowel decompression using a new technique.RESULTS:
Fifty-eight consecutive, unselected patients underwent bowel decompression, resection and primary colocolic anastomosis. Only one patient developed a leak at the anastomotic site, requiring pelvic abscess drainage and transverse loop colostomy. One death occurred 12h following surgery. Autopsy confirmed that this was due to myocardial infarction. Mean hospital stay was 9.8 days.CONCLUSION:
Emergency surgery on the obstructed left colon can be carried out safely after decompression alone, without intraoperative colonic lavage (AU)
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Coleções:
Bases de dados internacionais
Base de dados:
MedCarib
Assunto principal:
Trinidad e Tobago
/
Anastomose Cirúrgica
/
Colostomia
Tipo de estudo:
Estudo observacional
Limite:
Humanos
País/Região como assunto:
Caribe Inglês
/
Trinidad e Tobago
Idioma:
Inglês
Revista:
British journal of surgery
Ano de publicação:
1999
Tipo de documento:
Artigo
Instituição/País de afiliação:
University of the West Indies/Trinidad and Tobago