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Primary resection and anastomosis for perforated left colon lesions.
Am Surg. 1999 Oct; 65(10):931-3.AS

Abstract

The records of 33 patients with perforated left colon lesions over a 6-year period from 1992 to 1998 were examined retrospectively for clinical course and complications. All patients had a free perforation, feculent or purulent peritonitis, and/or a large inflammatory mass. All patients had primary resection and anastomosis without a protective colostomy or ileostomy. Indications included diverticulitis in 28 patients, obstructing colorectal carcinoma in 3, and iatrogenic perforations in 2. Complications occurred in 10 patients, including atelectasis in 1, urinary retention in 2, urinary tract infections in 2, wound infections in 3, line catheter sepsis in 1, and acute tubular necrosis in 1. There was one anastomotic dehiscence, which was successfully converted to a Hartmann procedure. Patients were discharged an average of 7 days after surgery. Two patients required surgery after discharge: one had a fascial dehiscence and the other an incisional ventral hernia. There was no mortality. Primary resection and anastomosis of selected perforated left colon lesions can be performed with a morbidity and mortality rate lower than that usually reported for the Hartmann procedure.

Authors+Show Affiliations

Department of Surgery, Kaiser Permanente Medical Center, Los Angeles, California, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10515537

Citation

Umbach, T W., and R A. Dorazio. "Primary Resection and Anastomosis for Perforated Left Colon Lesions." The American Surgeon, vol. 65, no. 10, 1999, pp. 931-3.
Umbach TW, Dorazio RA. Primary resection and anastomosis for perforated left colon lesions. Am Surg. 1999;65(10):931-3.
Umbach, T. W., & Dorazio, R. A. (1999). Primary resection and anastomosis for perforated left colon lesions. The American Surgeon, 65(10), 931-3.
Umbach TW, Dorazio RA. Primary Resection and Anastomosis for Perforated Left Colon Lesions. Am Surg. 1999;65(10):931-3. PubMed PMID: 10515537.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Primary resection and anastomosis for perforated left colon lesions. AU - Umbach,T W, AU - Dorazio,R A, PY - 1999/10/9/pubmed PY - 1999/10/9/medline PY - 1999/10/9/entrez SP - 931 EP - 3 JF - The American surgeon JO - Am Surg VL - 65 IS - 10 N2 - The records of 33 patients with perforated left colon lesions over a 6-year period from 1992 to 1998 were examined retrospectively for clinical course and complications. All patients had a free perforation, feculent or purulent peritonitis, and/or a large inflammatory mass. All patients had primary resection and anastomosis without a protective colostomy or ileostomy. Indications included diverticulitis in 28 patients, obstructing colorectal carcinoma in 3, and iatrogenic perforations in 2. Complications occurred in 10 patients, including atelectasis in 1, urinary retention in 2, urinary tract infections in 2, wound infections in 3, line catheter sepsis in 1, and acute tubular necrosis in 1. There was one anastomotic dehiscence, which was successfully converted to a Hartmann procedure. Patients were discharged an average of 7 days after surgery. Two patients required surgery after discharge: one had a fascial dehiscence and the other an incisional ventral hernia. There was no mortality. Primary resection and anastomosis of selected perforated left colon lesions can be performed with a morbidity and mortality rate lower than that usually reported for the Hartmann procedure. SN - 0003-1348 UR - https://www.unboundmedicine.com/medline/citation/10515537/Primary_resection_and_anastomosis_for_perforated_left_colon_lesions_ L2 - https://medlineplus.gov/colonicdiseases.html DB - PRIME DP - Unbound Medicine ER -