Surgical management of injuries of the large intestine

1981 ◽  
Vol 68 (10) ◽  
pp. 725-728 ◽  
Author(s):  
T. G. Parks
1976 ◽  
Vol 19 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Clifford W. Deveney ◽  
Frank R. Lewis ◽  
Theodore R. Schrock

2021 ◽  
Vol 9 ◽  
pp. 232470962110452
Author(s):  
Kristen Farraj ◽  
Atul Sinha ◽  
Aboud Kaliounji ◽  
Deepthi Kagolanu ◽  
Kaleem Rizvon ◽  
...  

While diverticulosis is a common phenomenon in the large intestine, it is a rare disease found in the small intestine accounting for only 0.06% to 1.3% of cases. Although most cases are asymptomatic, roughly 30% to 40%, it is crucial that it is on the differential of acute abdominal pain as it can be life-threatening and potentially require surgical management. Here, we describe a case of a 61-year-old Hispanic man who was found to have a perforated jejunal diverticula after initially presenting with left upper quadrant abdominal pain.


2016 ◽  
Vol 175 (2) ◽  
pp. 80-86
Author(s):  
S. A. Aliev ◽  
B. M. Zeinalov ◽  
E. S. Aliev

The article analyzed the structure, incidence rate and results of surgical treatment of paracolostomal complications in 69 patients out of 134 (aged from 23 to 77 years old). The patients were divided into 2 groups according to the variant of terminal colostomy. The single-barrel colostomy was formed by classical (intraperitoneal) method using «proboscis» design in 58 patients (43,3%) of the first group. Various complications were developed in the area of colostomy in 42 (72,4%) patients. The single-barrel flat colostomy was applied at the skin level using the method modified by the authors in 76 (56,7%) patients of the second group. The authors designed the method of controlled intra- and postoperative decompression and lavage of the colon by a new model of aspiration-irrigation device in order to unload the colon through colostomy. There were noted complications in the area of colostomy in 27 (35,5%) cases. The developed rational method of terminal colostomy formation, upgrading the ways of intra- and postoperative decompression and lavage of the colon facilitated to decrease of the rate of postcolostomy complications more than two times (from 72,4 to 35,5%). The author’s method led to optimization of immediate and long-term results of surgical treatment.


1979 ◽  
Vol 72 (6) ◽  
pp. 412-414 ◽  
Author(s):  
T G Parks

Eighty-eight patients suffering from gunshot injuries of the large intestine were admitted during an 8-year period to the Royal Victoria Hospital, Belfast. In 16 patients who died there was an average of 3.8 intra-abdominal organs injured. No patient with an isolated colonic or rectal injury succumbed.


2019 ◽  
Vol 4 (5) ◽  
pp. 857-869
Author(s):  
Oksana A. Jackson ◽  
Alison E. Kaye

Purpose The purpose of this tutorial was to describe the surgical management of palate-related abnormalities associated with 22q11.2 deletion syndrome. Craniofacial differences in 22q11.2 deletion syndrome may include overt or occult clefting of the palate and/or lip along with oropharyngeal variances that may lead to velopharyngeal dysfunction. This chapter will describe these circumstances, including incidence, diagnosis, and indications for surgical intervention. Speech assessment and imaging of the velopharyngeal system will be discussed as it relates to preoperative evaluation and surgical decision making. Important for patients with 22q11.2 deletion syndrome is appropriate preoperative screening to assess for internal carotid artery positioning, cervical spine abnormalities, and obstructive sleep apnea. Timing of surgery as well as different techniques, common complications, and outcomes will also be discussed. Conclusion Management of velopharyngeal dysfunction in patients with 22q11.2 deletion syndrome is challenging and requires thoughtful preoperative assessment and planning as well as a careful surgical technique.


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