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Related Experiment Videos

Emergency large bowel surgery: a 15-year audit

W H Isbister1, J Prasad

  • 1Department of Surgery, Wellington School of Medicine, New Zealand.

International Journal of Colorectal Disease
|January 1, 1997
PubMed
Summary

Management of colorectal emergencies via resection for right-sided lesions and diversion/resection for left-sided lesions resulted in a low mortality rate. This study evaluated 246 patients undergoing urgent colorectal surgery.

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Area of Science:

  • Colorectal Surgery
  • Surgical Emergencies
  • Gastrointestinal Pathology

Background:

  • Colorectal emergencies represent a significant surgical challenge.
  • Effective management strategies are crucial for patient outcomes.

Purpose of the Study:

  • To evaluate the management protocols for patients presenting with colorectal emergencies.
  • To assess surgical outcomes and complication rates in this patient cohort.

Main Methods:

  • A computerized audit of 246 patients undergoing urgent/semi-urgent colorectal surgery.
  • Data collected included indications for surgery, procedures performed, and post-operative complications.

Main Results:

  • Common indications included cancer and diverticular disease complications.
  • Resection and anastomosis for right-sided lesions and Hartmann's operation for left-sided lesions were common.
  • Post-operative complications included urinary tract infections, pulmonary embolism, and anastomotic leaks.
  • The overall post-operative mortality rate was 6.9%.

Conclusions:

  • A conservative surgical approach for colorectal emergencies is effective.
  • Resecting right-sided lesions and employing diversion or resection without anastomosis for left-sided lesions is associated with a low mortality rate.

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