[Primary wound healing of the sacral cavity following rectum amputation, also a comment on the discussion contribution by G. Jatzko and D. Schlapper, Chirurg (1988) 59: 855].
A retrospective study has shown that 46 consecutive abdominoperineal resections (including 3 proctocolectomies due to Crohn's disease or non-classifiable colitis) performed by 6 surgeons showed no signs of wound-healing impairment at the site of the perineal wound or in the sacral cavity. The main points which describe the solution are: orthograde intestinal lavage, prophylactic perioperative antibiotics, closure of the pelvic peritoneum, combined treatment of the sacral cavity with iodoform tamponade and closed drainage.
Hüskes
K P
KP
Allgemeinchirurgische Klinik, Kreiskrankenhauses Gummersbach.
Hardt
K U
KU
D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000601:surgery*; D002511:Cephalosporins / Q000008:administration & dosage; D003082:Colectomy / Q000379:methods*; D003424:Crohn Disease / Q000601:surgery*; D004733:Enema; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008795:Metronidazole / Q000008:administration & dosage; D008875:Middle Aged; D011292:Premedication; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D013530:Surgical Wound Infection / Q000517:prevention & control; D014945:Wound Healing / Q000187:drug effects
D002511:Cephalosporins; D008795:Metronidazole
Die primäre Wundheilung der Sacralhöhle nach Rectumamputation, zugleich Anmerkung zum Diskussionsbeitrag von G. Jatzko und D. Schlapper. Chirurg (1988) 59:855.