Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Nonelective colon resection. Alternatives to multistage resections.

J J Murray1

  • 1Department of Colon and Rectal Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts.

The Surgical Clinics of North America
|December 1, 1991
PubMed
Summary

Resection with intraoperative lavage and primary anastomosis offers a safe alternative to staged colonic resection, reducing hospitalization. This method is suitable for patients needing colostomy due to inadequate bowel preparation, excluding cases with sepsis or abscesses.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Roy Storer.

British dental journal·2017
Same author

Child dental health: Forty year overview.

British dental journal·2017
Same author

Forty years of national surveys: An overview of children's dental health from 1973-2013.

British dental journal·2015
Same author

Adult Dental Health Survey 2009: implications of findings for clinical practice and oral health policy.

British dental journal·2013
Same author

Adult Dental Health Survey 2009: relationships between dental attendance patterns, oral health behaviour and the current barriers to dental care.

British dental journal·2013
Same author

Adult Dental Health Survey 2009: common oral health conditions and their impact on the population.

British dental journal·2012

Area of Science:

  • Colorectal surgery
  • Surgical techniques
  • Gastrointestinal disorders

Background:

  • Staged resection for left colon disorders often leads to prolonged hospitalization and morbidity.
  • Inadequate mechanical bowel preparation frequently necessitates colostomy.

Purpose of the Study:

  • To evaluate the safety and efficacy of intraoperative lavage with primary anastomosis as an alternative to staged resection for left colon disorders.
  • To determine the suitability of this technique in patients with inadequate bowel preparation.

Main Methods:

  • Retrospective analysis of patients undergoing resection with intraoperative lavage and primary anastomosis.
  • Comparison of outcomes with historical controls treated with staged resection.

Main Results:

Related Experiment Videos

  • Intraoperative lavage with primary anastomosis proved to be a safe alternative, avoiding multistage procedures in all patients studied.
  • The technique met established criteria for safe bowel anastomosis.
  • It is a viable option for patients whose primary indication for colostomy is poor bowel preparation.

Conclusions:

  • Resection with intraoperative lavage and primary anastomosis is a safe and effective alternative to staged resection for left colon disorders, particularly when mechanical bowel preparation is inadequate.
  • This approach can reduce hospitalization and morbidity.
  • It is contraindicated in patients with fecal peritonitis, large pelvic abscesses, or systemic sepsis due to increased risks.