[The intraoperative colonic irrigation in emergency surgery].
Bowel preparations is frequently impossible in various ante colonic diseases, such as left-sided colonic obstruction. The goal of intraoperative colonic irrigation is to obtain, during surgery, a bowel preparation offering the possibility of primary resection with immediate anastomosis, when preoperative bowel preparation has not been feasible. Technical aspects of intra-operative colonic irrigation are described. Indications for this methods are presented: left-sided obstructing carcinomas, diverticulitis, more rarely inflammatory stenosis or functional obstruction. The surgical management of left colonic emergencies has evolved in the past few decades. Recently, there has been increasing interest in resection with primary anastomosis in selected cases. The post operative mortality rate was 13 per cent. The incidence of clinical anastomotic leakage was 6.65 per cent.
Secţia Chirurgie de Urgenţă, Spitalul de urgenţă Petroşani.
L
L
Kiss
D002277:Carcinoma / Q000401:mortality / Q000601:surgery*; D004239:Diverticulitis, Colonic / Q000401:mortality / Q000601:surgery; D004630:Emergencies; D006801:Humans; D012383:Romania / Q000453:epidemiology; D012811:Sigmoid Neoplasms / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate; D007507:Therapeutic Irrigation