Intraoperative colonic irrigation in the left colon anastomosis in acute obstruction of the experience I.docVIP

 PAGE \* MERGEFORMAT 9 Intraoperative colonic irrigation in the left colon anastomosis in acute obstruction of the experience I [Abstract] Objective To investigate the intraoperative colonic irrigation in emergency left colonic obstruction I clinical resection and anastomosis. Methods 2005-2008, 30 cases of hospital patients undergoing routine general selective antegrade colonic lavage, resection surgery After the removal of lesions from the appendix stump appendix of the Foley catheter inserted into a 24F, clamp terminal ileum, the catheter 37 saline solution to clean the colon out of date, the last with 0.5% metronidazole 200 mL + gentamicin 32U + entry Finally, the Bank of China 3 000 mL normal saline lavage as bowel preparation for surgery after the completion of stage resection of left colon. Results All patients healed in 27 cases of stage wound healing, wound infection in 3 cases, the change healing after drug treatment, no anastomotic leakage or death. Conclusion The method can improve the emergency left colonic obstruction resection and anastomosis of security, convenient and practical. [Keywords:] colonic irrigation anastomosis left colon obstruction Left colon obstruction caused by acute abdomen is a common clinical, as preoperative bowel preparation can not, use more traditional stage surgery to prevent complications such as anastomotic leak. In recent years great progress despite surgical techniques, But can the purposes of stage resection and anastomosis, there are still different opinions [1]. in our hospital from 2005-2008, 30 cases of selective implementation of all cases of intraoperative antegrade colonic irrigation and improve the stage resection, safety, convenience possible, results were satisfactory. We report the treatment results and the literature of the treatment. 1 Clinical data 1.1 General Information The group of 30 patients, 21 males and 9 females, aged 29 to 78 years, mean 57.8 years old, full of all the cas