On-Table Colonic Irrigation in Emergency Surgery for Left Colon Tumors
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 10
Abstract
Abstract: In this study, on-table colonic irrigation application in emergency left colon resections and its effects on single-stage treatment options were investigated. 21 patients who received left hemicolectomy due to left colon tumors were included in the study. 12 patients were taken to surgery following elective bowel cleansing (with monoalcaline/dialcaline sodium phosphate) (Group 1) whereas 9 patients were taken to surgery without prior bowel cleanse and on-table colonic irrigation was performed (Group 2). No dehiscence or leakage from anastomosis was detected in both groups. 2 patients in Group 1 and 3 patients in Group 2 showed a simple wound infection on the surgical site without a statistically significant difference (p>0.05). This study showed that there is no significant difference in terms of anastomosis healing in primary resection-anastomosis between elective colon cleansing and on-table colonic irrigation. We strongly think that this promising technique warrants further studies with wider patient series. Keywords:colonic irrigation, on-table lavage, left colon tumor.
Authors and Affiliations
Alp Yildiz,Huseyin Gobut
Keywords
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