Intraoperative colonic lavage in emergency surgical treatment of left-sided colonic obstruction

1998 ◽  
Vol 41 (1) ◽  
pp. 23-27 ◽  
Author(s):  
B. Forloni ◽  
R. Reduzzi ◽  
A. Paludetti ◽  
L. Colpani ◽  
G. Cavallari ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Colonic Obstruction ◽  
Colonic Lavage ◽  
Intraoperative Colonic Lavage

scholarly journals The Use оf Intraoperative Colonic Irrigation in Surgical Treatment of Obstructing Cancer of the Left Colon

2021 ◽  
Vol 14 (1) ◽  
pp. 69-74
Author(s):  
Vladimir Nikolaevich Ektov ◽  
Tatyana Evgenievna Shamaeva ◽  
Alexander Vasilyevich Kurkin ◽  
Vladimir Aleksandrovich Muzalkov
Keyword(s):  
Surgical Treatment ◽  
Primary Anastomosis ◽  
Colonic Obstruction ◽  
Left Colon ◽  
Colonic Irrigation ◽  
Surgical Interventions ◽  
Colonic Lavage ◽  
The Mean ◽  
Mandatory Use ◽  
Intraoperative Colonic Lavage

Purpose. Study of technical options and immediate results of primary anastomoses using intraoperative colonic irrigation in the surgical treatment of left-sided colonic tumor obstruction.Material and methods. Of the 128 patients with left-sided colonic obstruction, 20 patients underwent surgery with intraoperative colonic lavage and the formation of a primary colonic anastomosis. The mean age was 61.7 1.4 years. In 5 patients, the compensated stage of colonic malignant obstruction was detected, in 8 patients - subcompensated, in 7 patients - decompensated. Colon icirrigation was carried out by means of antegrade jet injection of 8 -10 liters of isoosmolar solution of electrolytes and was terminated by the introduction of enterosorbent microsorb-P. In 11 cases left-sided hemicolectomy was performed in patients and in 9 cases - resection of the sigmoid colon with primary anastomosis.Results. After surgical interventions various complications were observed in 7 patients. In 2 patients afailure of anastomosis was revealed, the successful treatment of which did not require repeated surgical procedures. In the postoperative period 1 (5.0%) patient died on the 4th day after surgical intervention from cardiopulmonary insufficiency on the basis of concomitant pathology.Conclusion. In the conditions of specialized surgical hospitals after careful evaluation of operational risk with obstructing cancer of the left colon it is possible to use segmental resections of the colon with the imposition of a primary anastomosis with mandatory use of intraoperative colonic lavage . This tactic helps to increase the effectiveness of surgical interventions and provides early rehabilitation of operated patients.

Intraoperative colonic lavage and primary anastomosis in peritonitis and obstruction

1997 ◽  
Vol 84 (2) ◽  
pp. 222-225 ◽  
Author(s):  
S. Biondo ◽  
E. Jaurrieta ◽  
R. Jorba ◽  
P. Moreno ◽  
L. Farran ◽  
...  
Keyword(s):  
Primary Anastomosis ◽  
Colonic Lavage ◽  
Intraoperative Colonic Lavage

scholarly journals EXPERIENCE OF STAGED SURGICAL TREATMENT OF ACUTE OBSTRUCTIVE INTESTINAL OBSTRUCTION OF TUMOR ORIGIN

2021 ◽  
pp. 37-41
Author(s):  
M. A. Kashtalyan ◽  
V. Y. Shapovalov ◽  
R. V. Yenin ◽  
M. О. Koshicov ◽  
S. O. Pasternachenko
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Intestinal Obstruction ◽  
Stent Placement ◽  
Colonic Obstruction ◽  
Vital Signs ◽  
Acute Intestinal Obstruction ◽  
Clinical Center ◽  
Tumor Origin ◽  
The Military

Summary. Objective: to improve the results of surgical treatment of patients with acute intestinal obstruction of tumor origin. Materials and methods of research. During the period from 2014 to 2020 in the surgical clinics of the Military Medical Clinical Center of the Southern Region (Odessa) 186 patients were treated with acute obstructive colonic obstruction of tumor origin. Research results and their discussion. In 34 (18.3 %) patients with GOKN during the applied conservative measures positive dynamics was observed, which allowed to examine patients in detail and prepare for surgery. In 6 (3.2 %) elderly patients with severe comorbidities, tumor recanalization and stent placement were performed. In 146 (78.5 %) patients, conservative measures were unsuccessful and were operated on according to vital signs, the first stage of which was intestinal fatigue. Conclusions. Step-by-step tactics of surgical treatment of acute intestinal obstruction of tumor origin with the use of laparoscopic colostomy in the first stage were used in 60.3 % of patients, which allowed final verification of the diagnosis, safe compensation of electrolyte and nutritional disorders in the patient and further treatment and correction.

Intraoperative Colonic Lavage

1991 ◽  
Vol 84 (1) ◽  
pp. 38-42 ◽  
Author(s):  
MARK B. SMITH ◽  
PRAHBAKAR BALIGA ◽  
WALTER M. SARTOR ◽  
VIPOOL K. GORADIA ◽  
JAMES W. HOLMES ◽  
...  
Keyword(s):  
Colonic Lavage ◽  
Intraoperative Colonic Lavage

Cecal recurrence after one-stage resection of obstructive rectal cancer with intraoperative colonic lavage through the appendix: a curious coincidence

2014 ◽  
Vol 30 (3) ◽  
pp. 425-426
Author(s):  
Mohammed Anass Majbar ◽  
Mohamed Said Naya ◽  
Mouna Elalaoui ◽  
Mohamed Raiss ◽  
Farid Sabbah ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Colonic Lavage ◽  
One Stage ◽  
Intraoperative Colonic Lavage
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