Experience with 103 cases of intestinal gangrene in Ile-Ife, Nigeria.
One hundred and three patients with intestinal gangrene were managed in Ile-Ife, Nigeria over a 10-year period. The overall mortality in the series was 25.2%. Strangulated hernias were responsible for 65 cases (63%), intussusception 20.4%, adhesions 11.7% and volvulus 2.9%. Avoidable deaths resulted from anastomotic breakdown and inadequate preoperative fluid therapy. Primary intestinal resection and end-to-end anastomosis of large bowel involved in gangrene gave very good results. It was found to be quite safe and economical, and avoided the inconveniences and complications of a colostomy.
Fashakin
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D000328:Adult; D005260:Female; D005734:Gangrene; D006547:Hernia / Q000473:pathology; D006801:Humans; D007410:Intestinal Diseases / Q000401:mortality / Q000473:pathology*; D007415:Intestinal Obstruction / Q000401:mortality / Q000473:pathology; D007443:Intussusception / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D000267:Tissue Adhesions / Q000473:pathology