[Use of orthograde intestinal irrigation in the prevention of complications following ureteral anastomoses].
Early complications after uretero-intestinal anastomoses are above all of inflammatory nature, caused by a pathological intestinal flora and/or a simultaneous urocystitis. 2 groups of treatment with uretero-intestinal anastomoses underwent a different preoperative preparation of the intestine. In a conventional group (n = 30) the preparation of the intestine was carried out by the application of laxatives, neomycin and talisulfasol. In another group (n = 22) the orthograde intestinal lavage was used in combination with an aimed prophylaxis by antibiotics. The advantages of the orthograde intestinal lavage are based on the nearly complete evacuation as well as on a favourable efficacy of the antibiotics in the emptied intestine. The performance, indications and contraindications of the technique are described. The analysis of the postoperative retention time, of the postoperative lethality and the numbers of complications caused by operation as well as infectious disturbances of the wound healing allocate a higher significance to the method of the prograde intestinal lavage compared with the conventional preparation of the intestine concerning the spectre of postoperative complications.
Klinik für Urologie, Medizinischen Akademie Carl Gustav Carus Dresden.
J
J
Schubert
J
J
Hildebrandt
D003131:Combined Modality Therapy; D006801:Humans; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control*; D013530:Surgical Wound Infection / Q000517:prevention & control; D007507:Therapeutic Irrigation; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*
Die Anwendung der orthograden Darmspülung zur Prophylaxe von Komplikationen nach harnleiterdarmanastomosen.