Single stage primary anastomosis without colonic lavage for left-sided colonic obstruction due to acute sigmoid volvulus: a prospective study of one hundred and ninety-seven cases

2003 ◽  
Vol 73 (6) ◽  
pp. 390-392 ◽  
Author(s):  
Utpal De ◽  
Shibajyoti Ghosh
Keyword(s):  
Prospective Study ◽  
Primary Anastomosis ◽  
Colonic Obstruction ◽  
Sigmoid Volvulus ◽  
Single Stage ◽  
Colonic Lavage ◽  
A Prospective Study

scholarly journals Is single-stage resection and anastomosis for acute sigmoid volvulus, without intra operative colonic lavage a safe procedure?

2021 ◽  
Vol 28 (06) ◽  
pp. 872-875
Author(s):  
Muhammad Bilal ◽  
Viqar Aslam ◽  
Waqas Jan ◽  
Zaheer Udin
Keyword(s):  
Primary Anastomosis ◽  
Mechanical Bowel Preparation ◽  
Sigmoid Volvulus ◽  
Single Stage ◽  
Safe Procedure ◽  
Local Data ◽  
Cross Sectional ◽  
Female Ratio ◽  
Colonic Lavage ◽  
Resection And Anastomosis

Objective. This study was conducted to provide local data regarding the results and post-operative complications after single-stage resection and anastomosis for acute sigmoid volvulus, without intra operative colonic lavage. Study Design: Descriptive Cross Sectional. Setting: DHQ Charsadda. Period: May 2017 to December 2019. Material & Methods: This clinical study was done on 50 patients who presented with the signs and symptoms of acute sigmoid volvulus excluding those with complications of the illness such as gangrene, perforation and peritonitis. Surgery for all patients was carried out under General anaesthesia. All the patients underwent emergency resection and primary anastomosis, without mechanical bowel preparation. Data were collected regarding post operation complication and analysis by using SPSS version 23. Chi square test was used to compare at level of significance <0.005. Results: Median age of patients was 50 years with male to female ratio 5:3. Seven patients presented with wound infection, one dehiscence while zero Anastomotic leakage and zero death postoperative recorded. Conclusion:  Single stage resection and primary anastomosis without preoperative colonic lavage for acute sigmoid volvulus is a simpler and short procedure with low mortality and morbidity rates.

scholarly journals Single-stage posterior-only debridement and transpedicular screw fixation for dorsolumbar tuberculosis: A prospective study of twenty cases

2017 ◽  
Vol 5 (2) ◽  
pp. 74
Author(s):  
AshishBalkrishna Patidar ◽  
RahulPushpendra Mehta ◽  
SantoshKumar Sharma ◽  
GorishankerBasantilal Vyas ◽  
Vivek Singh ◽  
...  
Keyword(s):  
Prospective Study ◽  
Screw Fixation ◽  
Single Stage ◽  
Transpedicular Screw ◽  
A Prospective Study ◽  
Transpedicular Screw Fixation

WallFlex colonic stent placement for management of malignant colonic obstruction: a prospective study at two centers

2008 ◽  
Vol 67 (1) ◽  
pp. 77-84 ◽  
Author(s):  
Alessandro Repici ◽  
Giuseppe De Caro ◽  
Carmelo Luigiano ◽  
Carlo Fabbri ◽  
Nico Pagano ◽  
...  
Keyword(s):  
Prospective Study ◽  
Stent Placement ◽  
Colonic Obstruction ◽  
Malignant Colonic Obstruction ◽  
Colonic Stent ◽  
A Prospective Study

scholarly journals Buccal mucosal graft urethroplasty in the treatment of urethral strictures: a prospective study

2021 ◽  
Vol 10 (1) ◽  
pp. 180
Author(s):  
Chetan Baragi ◽  
Raveendra Totad ◽  
Shankarsnehit Patil ◽  
Nandini Takkalaki
Keyword(s):  
Prospective Study ◽  
Surgical Repair ◽  
Primary Anastomosis ◽  
Standard Procedure ◽  
The Past ◽  
Urethral Strictures ◽  
Buccal Mucosal Graft ◽  
A Prospective Study ◽  
Graft Shrinkage

Background: Anterior urethral strictures develop due to a process of fibrosis and cicatrix formation of the urethral mucosa and the surrounding tissues. Its surgical management is a challenging problem, and has changed dramatically in the past several decades. Open surgical repair using grafts has become the gold standard procedure for anterior urethral strictures that are not amenable to excision and primary anastomosis. Oral mucosa harvested from the inner cheek (buccal mucosa) is an ideal material, and is most commonly used for substitution urethroplasty. Objective of current study was to establish the efficacy of the buccal mucosal graft urethroplasty by different onlay techniques in anterior urethral strictures.Methods: The study was a prospective study, done between August 2009 and December 2011. 25 cases of long anterior urethral strictures were managed by onlay urethroplasty by different techniques. Follow up ranged from 8-20 months.Results: 3 patients lost follow up after first visit. Post operative uroflowmetry was done in all patients after 1 month at the time of first follow up visit. Of 25 cases 21 (84%) were successful and 4 (16%) failed.Conclusions: In our study we have found that buccal mucosal graft can be safely used for substitution urethroplasty in all long anterior urethral strictures including cases with balanitis xerotic obliterance. It was very efficient in terms of less graft shrinkage or contracture as it is a full thickness graft.

Prospective study of primary anastomosis without colonic lavage for patients with an obstructed left colon

1999 ◽  
Vol 86 (10) ◽  
pp. 1341-1343 ◽  
Author(s):  
V. Naraynsingh ◽  
R. Rampaul ◽  
D. Maharaj ◽  
T. Kuruvilla ◽  
K. Ramcharan ◽  
...  
Keyword(s):  
Prospective Study ◽  
Primary Anastomosis ◽  
Left Colon ◽  
Colonic Lavage

scholarly journals The Use оf Intraoperative Colonic Irrigation in Surgical Treatment of Obstructing Cancer of the Left Colon

2021 ◽  
Vol 14 (1) ◽  
pp. 69-74
Author(s):  
Vladimir Nikolaevich Ektov ◽  
Tatyana Evgenievna Shamaeva ◽  
Alexander Vasilyevich Kurkin ◽  
Vladimir Aleksandrovich Muzalkov
Keyword(s):  
Surgical Treatment ◽  
Primary Anastomosis ◽  
Colonic Obstruction ◽  
Left Colon ◽  
Colonic Irrigation ◽  
Surgical Interventions ◽  
Colonic Lavage ◽  
The Mean ◽  
Mandatory Use ◽  
Intraoperative Colonic Lavage

Purpose. Study of technical options and immediate results of primary anastomoses using intraoperative colonic irrigation in the surgical treatment of left-sided colonic tumor obstruction.Material and methods. Of the 128 patients with left-sided colonic obstruction, 20 patients underwent surgery with intraoperative colonic lavage and the formation of a primary colonic anastomosis. The mean age was 61.7 1.4 years. In 5 patients, the compensated stage of colonic malignant obstruction was detected, in 8 patients - subcompensated, in 7 patients - decompensated. Colon icirrigation was carried out by means of antegrade jet injection of 8 -10 liters of isoosmolar solution of electrolytes and was terminated by the introduction of enterosorbent microsorb-P. In 11 cases left-sided hemicolectomy was performed in patients and in 9 cases - resection of the sigmoid colon with primary anastomosis.Results. After surgical interventions various complications were observed in 7 patients. In 2 patients afailure of anastomosis was revealed, the successful treatment of which did not require repeated surgical procedures. In the postoperative period 1 (5.0%) patient died on the 4th day after surgical intervention from cardiopulmonary insufficiency on the basis of concomitant pathology.Conclusion. In the conditions of specialized surgical hospitals after careful evaluation of operational risk with obstructing cancer of the left colon it is possible to use segmental resections of the colon with the imposition of a primary anastomosis with mandatory use of intraoperative colonic lavage . This tactic helps to increase the effectiveness of surgical interventions and provides early rehabilitation of operated patients.

Sign in / Sign up

Export Citation Format

Share Document