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[Peroperative lavage]

Y Sahlin1, H E Myrvold, J N Wiig

  • 1Kirurgisk avdeling Regionsykehuset i Trondheim.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|May 10, 1994
PubMed
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On-table lavage enables primary bowel anastomosis, offering a safe alternative to staged surgeries for colonic lesions. This approach avoids temporary stomas and reduces further operative morbidity for patients.

Area of Science:

  • Surgical Gastroenterology
  • Colorectal Surgery
  • Surgical Oncology

Context:

  • Colonic surgery often necessitates bowel preparation to reduce infection risk and ensure safe anastomosis.
  • Inadequate bowel preparation or acute conditions can complicate elective and emergency colorectal procedures.
  • Staged surgical approaches, involving temporary stomas, are traditionally used in such challenging scenarios.

Purpose:

  • To evaluate the safety and efficacy of performing primary colonic anastomosis immediately after an on-table lavage procedure.
  • To assess the complication rates, specifically anastomotic leakage, in patients undergoing this technique.
  • To determine if on-table lavage is a viable alternative to staged operations for colonic lesions.

Summary:

  • Twenty-nine patients with colonic lesions (including cancer, diverticulitis, stricture, and bleeding) underwent primary bowel anastomosis following on-table lavage.

Related Experiment Videos

  • The procedure was applied in both acute/subacute settings (13 patients) and elective cases with inadequate preparation (16 patients).
  • A low complication rate (14%) and no mortality or anastomotic leakage were observed, despite a median increase of 38 minutes in operative time.

    • Impact:

    • On-table lavage facilitates primary anastomosis, potentially eliminating the need for temporary stomas and associated morbidity.
    • This technique presents a safe and reliable option, improving patient outcomes and reducing healthcare resource utilization.
    • It offers a valuable alternative to staged procedures, enhancing patient comfort and potentially shortening overall treatment duration.