Presacral drainage of perineal complications after surgical treatment of rectal cancer used in the sense.docVIP

 PAGE \* MERGEFORMAT 7 Presacral drainage of perineal complications after surgical treatment of rectal cancer used in the sense [Keywords:] cancer Rectal cancer is the most common early complications of anastomotic leakage, bleeding and infection, most clinical need reoperation. Intraoperative placement of drainage tubes anastomotic leakage and postoperative treatment of infection have provided favorable conditions, the traditional placement method is to set presacral drainage tube leads through the lower abdomen. our hospital in January 1998 to January 2008 l1 242 patients with rectal cancer underwent surgical operation. intraoperative presacral conventional transperineal drainage tube indwelling, concurrent postoperative Treatment of 24 cases (9.7%. full use of presacral drainage tubes to greatly reduce the reoperation rate, achieve better results. 1 Clinical data 1.1 General information on 24 cases of rectal complications, aged 40 to 82 years, mean 52 years, clinical manifestations, abdominal pain in 9 cases, there is fecal presacral drainage tube drainage fluid of 14 patients, 6 cases of fever, blood tests have varying degrees elevated white blood cells, bleeding 4 cases cited presacral drainage flow tube there have been bloody fluid, blood pressure, infection in 6 cases showed swelling of perineal wound purulent discharge, wound dehiscence in some patients, presacral drainage tube had purulent drainage of fluid. 1.2 Miles operation method of perineal presacral drainage retention is very convenient, poke holes through the side leads to perineal incision and fixed. Dixon TME surgery required by presacral down in separate line low anastomosis perineal presacral drainage retention is more convenient. If no resection of the rectum too remote, the surgeon can be isolated presacral slightly down from the anus 2 cm, the bladder lithotomy position 3 to 6 points, or 6 to 9 points for perineal incision with forceps from the perineum at up around the ga