[Technical failures in small bowel surgery (author's transl)].
A certain amount of relaparotomies after small bowel surgery is caused by technical failures, such as the technique of suturing the anastomosis and the kind of re-establishing the continuity of the bowel. An end-to-end-anastomosis with sufficient vascularisation at the cut ends, tension free, and without an overdone inversion will guarantee a more successful suturing of the bowel than a side-to-side-anastomosis. At first the whole small bowel should be explored to recognize multiple lesions. Postoperative malabsorption due to the exclusion of more less extended segments of the bowel--by bypass anastomoses or construction of blind loops--can be repaired successfully by corrective laparotomies. Special problems in operative tactics and technique of Crohn's disease are discussed.
D001765:Blind Loop Syndrome / Q000209:etiology; D003424:Crohn Disease / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D007421:Intestine, Small / Q000601:surgery*; D008286:Malabsorption Syndromes / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology*; D013536:Suture Techniques / Q000009:adverse effects
Operationstechnisch bedingte Misserfolge bei Eingriffen am Dünndarm.