Tags

Type your tag names separated by a space and hit enter

[The value of peroperative colonic lavage in urgent colonic surgery. Apropos of 54 patients].
J Chir (Paris). 1997 Dec; 134(7-8):271-4.JC

Abstract

The effects of on-table colonic irrigation followed by primary large bowel resection and anastomosis for emergency left colonic disease were prospectively studied in 54 patients.

PATIENTS AND METHODS

Eighteen patients had a diverticular sigmoiditis complicated by localized (8) or generalized (4) peritonitis, 6 presented a complete sigmoid obstruction. Thirty six patients had a left colonic occlusive (33) or perforated (3) cancer. Anterograde colonic irrigation was carried out with a mean volume of 7.7 l. All patients received a double or triple antibiotic combination. The anastomosis was handsewn in 33 cases and stapled (Knight-Griffen) in 21. Seven patients with severe peritonitis had a proximal transitory stoma which was closed within 4 months.

RESULTS

Two patients (3.7%) died postoperatively, one for anastomotic dehiscence and the second for evisceration. We observed 7 cases of hypothermia (< 34 degrees C) during the irrigation. Six patients developed a sepsis of the surgical wound, 2 a septicemia and l an abscess in the right iliac fossa which was percutaneously drained. All complications had a favourable outcome.

CONCLUSION

This study confirms that in selected cases a single stage surgery for colonic emergencies preceded by on-table irrigation grants good results and is a safe and effective alternative to Hartmann's procedure.

Authors+Show Affiliations

Service de Chirurgie Générale et Digestive, CHU Hautepierre, Strasbourg.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

9772987

Citation

Meyer, C, et al. "[The Value of Peroperative Colonic Lavage in Urgent Colonic Surgery. Apropos of 54 Patients]." Journal De Chirurgie, vol. 134, no. 7-8, 1997, pp. 271-4.
Meyer C, Rohr S, Iderne A, et al. [The value of peroperative colonic lavage in urgent colonic surgery. Apropos of 54 patients]. J Chir (Paris). 1997;134(7-8):271-4.
Meyer, C., Rohr, S., Iderne, A., Tiberio, G., & Bourtoul, C. (1997). [The value of peroperative colonic lavage in urgent colonic surgery. Apropos of 54 patients]. Journal De Chirurgie, 134(7-8), 271-4.
Meyer C, et al. [The Value of Peroperative Colonic Lavage in Urgent Colonic Surgery. Apropos of 54 Patients]. J Chir (Paris). 1997;134(7-8):271-4. PubMed PMID: 9772987.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The value of peroperative colonic lavage in urgent colonic surgery. Apropos of 54 patients]. AU - Meyer,C, AU - Rohr,S, AU - Iderne,A, AU - Tiberio,G, AU - Bourtoul,C, PY - 1998/10/17/pubmed PY - 1998/10/17/medline PY - 1998/10/17/entrez SP - 271 EP - 4 JF - Journal de chirurgie JO - J Chir (Paris) VL - 134 IS - 7-8 N2 - UNLABELLED: The effects of on-table colonic irrigation followed by primary large bowel resection and anastomosis for emergency left colonic disease were prospectively studied in 54 patients. PATIENTS AND METHODS: Eighteen patients had a diverticular sigmoiditis complicated by localized (8) or generalized (4) peritonitis, 6 presented a complete sigmoid obstruction. Thirty six patients had a left colonic occlusive (33) or perforated (3) cancer. Anterograde colonic irrigation was carried out with a mean volume of 7.7 l. All patients received a double or triple antibiotic combination. The anastomosis was handsewn in 33 cases and stapled (Knight-Griffen) in 21. Seven patients with severe peritonitis had a proximal transitory stoma which was closed within 4 months. RESULTS: Two patients (3.7%) died postoperatively, one for anastomotic dehiscence and the second for evisceration. We observed 7 cases of hypothermia (< 34 degrees C) during the irrigation. Six patients developed a sepsis of the surgical wound, 2 a septicemia and l an abscess in the right iliac fossa which was percutaneously drained. All complications had a favourable outcome. CONCLUSION: This study confirms that in selected cases a single stage surgery for colonic emergencies preceded by on-table irrigation grants good results and is a safe and effective alternative to Hartmann's procedure. SN - 0021-7697 UR - https://www.unboundmedicine.com/medline/citation/9772987/[The_value_of_peroperative_colonic_lavage_in_urgent_colonic_surgery__Apropos_of_54_patients]_ L2 - http://www.em-consulte.com/retrieve/pii/MDOI-JC-11-1997-134-7-8-0021-7697-101019-ART55 DB - PRIME DP - Unbound Medicine ER -