Primary repair of iatrogenic colonic perforations in unprepared colon--a report of five cases.
Primary repair of iatrogenic colonic perforations sustained during pelvic surgery was successfully undertaken in five consecutive cases who did not receive pre-operative bowel preparation. A proximal diverting colostomy was not performed following the repair. There were no instances of intra-abdominal abscess or colonic fistulation. One case developed wound infection. Post-operative recovery in all cases were mostly uneventful with a mean post-operative ileus of four days and a stay of ten days. Primary repair of iatrogenic colonic perforations in unprepared colon can be safely undertaken without a proximal diverting colostomy with acceptable morbidity.
Ngoi
S S
SS
Department of Surgery, National University Hospital, Singapore.
Tekant
Y
Y
Ahmed
S
S
Chia
Y W
YW
Rauff
A
A
D000328:Adult; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D010388:Pelvis / Q000601:surgery; D010538:Peritonitis / Q000209:etiology / Q000601:surgery; D013536:Suture Techniques