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[The intraoperative colonic irrigation in emergency surgery]
1Secţia Chirurgie de Urgenţă, Spitalul de urgenţă Petroşani.
Chirurgia (Bucharest, Romania : 1990)
|May 7, 2003
Summary
Intraoperative colonic irrigation enables bowel preparation during surgery when preoperative methods fail, facilitating primary resection and anastomosis for left-sided colonic emergencies. This technique offers a viable surgical option with manageable postoperative outcomes.
Area of Science:
- Colorectal Surgery
- Surgical Gastroenterology
Context:
- Preoperative bowel preparation is often unfeasible in cases of left-sided colonic obstruction due to various antecolonic diseases.
- Surgical management of left colonic emergencies has seen advancements, with growing interest in resection and primary anastomosis.
Purpose:
- To describe the technical aspects and indications of intraoperative colonic irrigation.
- To enable primary resection with immediate anastomosis when preoperative bowel preparation is not feasible.
Summary:
- Intraoperative colonic irrigation provides a method for achieving adequate bowel preparation during surgery for conditions like left-sided obstructing carcinomas and diverticulitis.
- The procedure allows for primary resection and immediate anastomosis in selected cases, addressing limitations of preoperative preparation.
- Reported outcomes include a 13% postoperative mortality rate and a 6.65% incidence of clinical anastomotic leakage.
Impact:
- Facilitates surgical intervention in complex cases where standard bowel preparation is impossible.
- Offers a potentially life-saving option for left colonic emergencies, improving surgical outcomes.
- Contributes to the evolving strategies in managing left colonic emergencies, balancing risks and benefits of primary anastomosis.