[Surgical treatment of injuries of the colon].
Having analyzed results of treatment of 214 patients with an injury of the colon and its mesentery the authors have made a conclusion that most typical errors are related with problems of diagnostics in closed and associated trauma of the colon and the absence of single tactical recommendations in choice of the optimum operation volume. The primary suture of the gut was performed in 165 patients, in 9 patients suturing was supplemented by proximal colostomy. Resection of the intestine with a one-lumen anus was performed in 9 patients, and resection with primary anastomosis--in 6 patients more. In 2 patients the injured loop was brought onto the anterior abdominal wall. For decompression of the gut lumen after its resection or suturing the wound the authors propose a method of the duct decompression lavage of colonic anastomoses which was used in 7 patients. Pyo-septic complications were noted in 79 patients, 23 patients died (10.7%).
Lokhvitskiĭ
S V
SV
Afendylov
S A
SA
Darvin
V V
VV
D000293:Adolescent; D000328:Adult; D002648:Child; D003082:Colectomy / Q000379:methods; D003106:Colon / Q000293:injuries* / Q000601:surgery; D003125:Colostomy; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D014950:Wounds, Penetrating / Q000601:surgery*
Khirurgiia povrezhdeniĭ obodochnoĭ kishki.