[Protective transanal tube in colo-rectal anastomosis].
A particular issue of colo-rectal resection is represented by the great frequency of anastomotic dehiscences, which the medical literature has shown to vary between 3.25% and 30%. This justifies the surgical interest in perfecting methods aimed at reducing the frequency of this complication. One of these methods is the protective ileo- or colostomy, which has successfully reduced the frequency of dehiscences down to 4%. To the same propose a method that has been documented in previous literature and which consists of inserting an endoanal protective tube, above the anastomosis. The tube is connected to a plastic pouch and is maintained for 3-6 days, until transit has resumed. By applying this method to 38 cases, we noted only two cases (5.2%) of anastomotic leakage with small output, which were solved spontaneously after a few days. The basic nature and efficiency of this method have lead us to propose it as an alternative procedure to protective ileo- or colostomy. This method has the advantage of preventing further procedures. The quality of life of these patients is appreciably improved.
Pătraşcu
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Clinica de chirurgie Prof I. Juvara, Spitalul Clinic Dr. I. Cantacuzino, Bucureşti.
Doran
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Muşat
Oana
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001003:Anal Canal / Q000601:surgery; D000714:Anastomosis, Surgical / Q000009:adverse effects; D003106:Colon / Q000601:surgery*; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000517:prevention & control