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Intraoperative colonic lavage and primary anastomosis--an alternative to Hartmann procedure in emergency surgery of the left colon.
Eur J Surg. 1994 May; 160(5):287-92.EJ

Abstract

OBJECTIVE

To assess whether intraoperative lavage and primary resection with anastomosis is a safe alternative to a Hartmann procedure in emergency surgery of the left colon.

DESIGN

Retrospective study.

SETTING

University hospital.

MATERIAL

101 consecutive patients (39 emergency and 62 elective) who underwent a left-sided colonic resection during a 3-year-period.

INTERVENTIONS

17 of the emergency procedures comprised an intraoperative lavage followed by resection and primary anastomosis without faecal diversion; 17 were Hartmann procedures and 5 patients had primary resection without lavage.

MAIN OUTCOME MEASURES

Postoperative mortality, morbidity and duration of hospital stay in these two groups compared with these after a contemporary series of elective resections.

RESULTS

There were no postoperative deaths and no clinical anastomotic leaks in the lavage group. The duration of hospital stay (median 11 days) was similar in both groups (overall and sigmoid resection respectively). In the Hartmann group, there were two deaths and the postoperative stay in hospital was significantly longer.

CONCLUSIONS

Primary resection with intraoperative lavage can be done successfully in patients with acute obstruction of the left colon and the duration of hospital stay and morbidity are similar to those seen in patients operated on electively.

Authors+Show Affiliations

Department of Surgery, University of Uppsala, Sweden.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

8075198

Citation

Kressner, U, et al. "Intraoperative Colonic Lavage and Primary Anastomosis--an Alternative to Hartmann Procedure in Emergency Surgery of the Left Colon." The European Journal of Surgery = Acta Chirurgica, vol. 160, no. 5, 1994, pp. 287-92.
Kressner U, Antonsson J, Ejerblad S, et al. Intraoperative colonic lavage and primary anastomosis--an alternative to Hartmann procedure in emergency surgery of the left colon. Eur J Surg. 1994;160(5):287-92.
Kressner, U., Antonsson, J., Ejerblad, S., Gerdin, B., & Påhlman, L. (1994). Intraoperative colonic lavage and primary anastomosis--an alternative to Hartmann procedure in emergency surgery of the left colon. The European Journal of Surgery = Acta Chirurgica, 160(5), 287-92.
Kressner U, et al. Intraoperative Colonic Lavage and Primary Anastomosis--an Alternative to Hartmann Procedure in Emergency Surgery of the Left Colon. Eur J Surg. 1994;160(5):287-92. PubMed PMID: 8075198.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intraoperative colonic lavage and primary anastomosis--an alternative to Hartmann procedure in emergency surgery of the left colon. AU - Kressner,U, AU - Antonsson,J, AU - Ejerblad,S, AU - Gerdin,B, AU - Påhlman,L, PY - 1994/5/1/pubmed PY - 1994/5/1/medline PY - 1994/5/1/entrez SP - 287 EP - 92 JF - The European journal of surgery = Acta chirurgica JO - Eur J Surg VL - 160 IS - 5 N2 - OBJECTIVE: To assess whether intraoperative lavage and primary resection with anastomosis is a safe alternative to a Hartmann procedure in emergency surgery of the left colon. DESIGN: Retrospective study. SETTING: University hospital. MATERIAL: 101 consecutive patients (39 emergency and 62 elective) who underwent a left-sided colonic resection during a 3-year-period. INTERVENTIONS: 17 of the emergency procedures comprised an intraoperative lavage followed by resection and primary anastomosis without faecal diversion; 17 were Hartmann procedures and 5 patients had primary resection without lavage. MAIN OUTCOME MEASURES: Postoperative mortality, morbidity and duration of hospital stay in these two groups compared with these after a contemporary series of elective resections. RESULTS: There were no postoperative deaths and no clinical anastomotic leaks in the lavage group. The duration of hospital stay (median 11 days) was similar in both groups (overall and sigmoid resection respectively). In the Hartmann group, there were two deaths and the postoperative stay in hospital was significantly longer. CONCLUSIONS: Primary resection with intraoperative lavage can be done successfully in patients with acute obstruction of the left colon and the duration of hospital stay and morbidity are similar to those seen in patients operated on electively. SN - 1102-4151 UR - https://www.unboundmedicine.com/medline/citation/8075198/Intraoperative_colonic_lavage_and_primary_anastomosis__an_alternative_to_Hartmann_procedure_in_emergency_surgery_of_the_left_colon_ L2 - https://medlineplus.gov/colonicdiseases.html DB - PRIME DP - Unbound Medicine ER -