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[Primary extraperitoneal resection of the sigmoid]
Vestnik Khirurgii Imeni I. I. Grekova
|February 1, 1980
Summary
The Shaak procedure for colorectal surgery is effective, with no negative impact on colon function or peritonitis risk. Late results show spontaneous or surgical closure of fecal fistulas is possible.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Colorectal Surgery
Context:
- Evaluation of a novel surgical technique for colorectal procedures.
- Assessing outcomes in a cohort of 38 patients undergoing the Shaak procedure.
- Investigating the safety and efficacy of extraperitoneal anastomosis in colon surgery.
Purpose:
- To analyze the late results of the T. V. Shaak surgical procedure.
- To determine the influence of extraperitoneal anastomosis on colon function.
- To assess the incidence and management of complications such as suture disjunction and fecal fistulas.
Summary:
- The T. V. Shaak procedure was performed on 38 patients, with 2 lethal outcomes in elderly patients (42 and 76 years old).
- Analysis of late results indicated that extraperitoneal anastomosis did not negatively affect colon function.
- Suture disjunction in the anastomosis field did not lead to diffuse peritonitis, and fecal fistulas were manageable through spontaneous or surgical closure.
Impact:
- Demonstrates the safety and efficacy of the Shaak procedure in colorectal surgery.
- Highlights the benefits of extraperitoneal anastomosis in preventing complications.
- Provides insights into the management of fecal fistulas following this surgical approach.