Intraoperative colonic lavage in infants using a Replogle tube.
On-table colonic lavage for preparing obstructed bowel prior to anastomosis or stoma formation is now routine in adults, but it is seldom used in paediatric practice. We describe a simple technique for intraoperative colonic lavage using inexpensive medical devices that are also readily available and disposable, a Replogle tube, a fine-bore sucker, and a 20-ml syringe. We have used this technique in infants with intestinal obstruction due to anorectal malformations, intestinal atresias, and post-NEC strictures, to good effect.
Vincent
Michelle V
MV
Jessop Wing, Sheffield Teaching Hospitals, UK.
Marven
Sean S
SS
D001006:Anus, Imperforate / Q000601:surgery; D003106:Colon / Q000601:surgery*; D004209:Disposable Equipment; D006801:Humans; D007223:Infant; D007415:Intestinal Obstruction / Q000601:surgery; D007430:Intraoperative Care; D007440:Intubation / Q000295:instrumentation*; D013396:Suction / Q000295:instrumentation; D013594:Syringes; D007507:Therapeutic Irrigation / Q000295:instrumentation