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[Preoperative colonic lavage and one-stage excision-anastomosis in obstruction of the left colon].
Ann Chir. 1997; 51(9):981-5.AC

Abstract

In a retrospective series of 95 patients requiring emergency surgery for distal colonic obstruction, primary bowel resection followed by immediate anastomosis after intraoperative colonic irrigation was performed. Carcinoma was the cause of obstruction in 81 cases (85%); 13 patients had diverticulitis, and 1 had sigmoid volvulus. The technique of on-table lavage was similar to that described by Dudley in 1980: a caecostomy tube was used in 86 patients (90%) and was removed on the tenth postoperative day. 4 patients died, none from complications of anastomotic leakage. There were three anastomotic leakages (3.1%) and 10 radiologic leaks were observed. 3 patients were reoperated. The mean hospital stay was 23 days. The results of this study suggest that intraoperative colonic irrigation is an effective method, enabling the surgeon to perform primary anastomosis with reasonable safety after emergency resection of selected distal colonic lesions.

Authors+Show Affiliations

Dipartimento di Gastroenterologia e Chirurgia Ospedale Civile, Sanremo, Italia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

10868039

Citation

Gramegna, A, et al. "[Preoperative Colonic Lavage and One-stage Excision-anastomosis in Obstruction of the Left Colon]." Annales De Chirurgie, vol. 51, no. 9, 1997, pp. 981-5.
Gramegna A, Saccomani G, Foscolo PP, et al. [Preoperative colonic lavage and one-stage excision-anastomosis in obstruction of the left colon]. Ann Chir. 1997;51(9):981-5.
Gramegna, A., Saccomani, G., Foscolo, P. P., Secondo, P., Amato, A., & Durante, V. (1997). [Preoperative colonic lavage and one-stage excision-anastomosis in obstruction of the left colon]. Annales De Chirurgie, 51(9), 981-5.
Gramegna A, et al. [Preoperative Colonic Lavage and One-stage Excision-anastomosis in Obstruction of the Left Colon]. Ann Chir. 1997;51(9):981-5. PubMed PMID: 10868039.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Preoperative colonic lavage and one-stage excision-anastomosis in obstruction of the left colon]. AU - Gramegna,A, AU - Saccomani,G, AU - Foscolo,P P, AU - Secondo,P, AU - Amato,A, AU - Durante,V, PY - 1997/1/1/pubmed PY - 2000/7/15/medline PY - 1997/1/1/entrez SP - 981 EP - 5 JF - Annales de chirurgie JO - Ann Chir VL - 51 IS - 9 N2 - In a retrospective series of 95 patients requiring emergency surgery for distal colonic obstruction, primary bowel resection followed by immediate anastomosis after intraoperative colonic irrigation was performed. Carcinoma was the cause of obstruction in 81 cases (85%); 13 patients had diverticulitis, and 1 had sigmoid volvulus. The technique of on-table lavage was similar to that described by Dudley in 1980: a caecostomy tube was used in 86 patients (90%) and was removed on the tenth postoperative day. 4 patients died, none from complications of anastomotic leakage. There were three anastomotic leakages (3.1%) and 10 radiologic leaks were observed. 3 patients were reoperated. The mean hospital stay was 23 days. The results of this study suggest that intraoperative colonic irrigation is an effective method, enabling the surgeon to perform primary anastomosis with reasonable safety after emergency resection of selected distal colonic lesions. SN - 0003-3944 UR - https://www.unboundmedicine.com/medline/citation/10868039/[Preoperative_colonic_lavage_and_one_stage_excision_anastomosis_in_obstruction_of_the_left_colon]_ L2 - https://medlineplus.gov/intestinalobstruction.html DB - PRIME DP - Unbound Medicine ER -