Intraoperative colonic lavage in a premature infant: a case report.
Left-sided colonic obstruction in the neonate traditionally is managed with a multistaged defunctioning colostomy and resection. In adults, one-stage primary anastomosis has become increasingly popular with the use of on-table antegrade colonic lavage. In infants, and especially in premature neonates, enterostomies pose significant morbidity. O'Connor and Sawin reported a 68% complication rate in 50 infants with necrotizing enterocolitis who had survived until the time of enterostomal closure. This case discusses a modified application of on-table colonic lavage in the management of an obstructing sigmoid stricture in a premature infant.
Ognibene
Steven J
SJ
Department of Surgery, University of Rochester, Rochester, NY, USA.
Koniaris
Leonidas G
LG
Pegoli
Walter
W
Drugas
George T
GT
D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D020345:Enterocolitis, Necrotizing / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D007432:Intraoperative Period; D011859:Radiography; D007507:Therapeutic Irrigation