一种经过修改的围方法来管理杀性直肠脱落:一个案例报告
C Biegel1, S Brock2, J Porter1
1Department of Surgery, St. John's Episcopal Hospital, 327 Beach 19th St, Far Rockaway, NY 11691, United States of America.
International journal of surgery case reports
|July 19, 2023
概括
阿尔特迈耶手术提供了一个可行的手术选择,用于管理健康患者的喉直肠落. 这种围方法有效地治疗了不可减小的喉直肠脱落病例,没有并发症.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术病例报告 手术病例报告
背景情况:
- 增加的腹腔内压力可以导致直肠.
- 监禁性直肠脱落带有窒息的风险,需要紧急的手术干预.
- 阿尔特迈耶手术是一种围治疗的方法,用于治疗直肠.
研究的目的:
- 评估Altemeier类型的围方法来管理杀性直肠.
- 介绍一例杀性直肠脱落的新出现的外科治疗案例.
主要方法:
- 一名70岁的健康女性患有喉直肠落,在麻醉下进行了紧急探索.
- 在没有转向结肠直肠切除术的情况下,进行了Altemeier类型的围直肠直肠切除术.
- 手术的决定是基于在探索期间发现的直肠缺血的程度.
主要成果:
- 患者经历了无事件的术后恢复,并在术后第三天出院.
- 在随访时,患者报告肠道功能正常.
- 没有观察到直肠脱落复发的证据.
结论:
- 阿尔特梅耶尔方法是适合在选择的健康人群中出现的喉直肠倒的外科治疗的选择.
- 这一案例支持阿尔特迈耶手术在治疗杀性直肠脱落时的有效性.
- 管理的指导原则是限制切除到缺血片段.
相关概念视频
Assessment of the Rectum and Anus
279
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
279
Inflammatory Bowel Disease V: Surgical Management
171
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
171
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119


