Primary small bowel anastomosis in generalised peritonitis.
Copyright policy )Primary small bowel anastomosis in generalised peritonitis.
To find out if primary small bowel anastomosis of the bowel is safe in patients with generalised peritonitis who are treated by planned relaparotomies.Retrospective study.University hospital, The Netherlands.10 Patients with generalised purulent peritonitis caused by perforation of the bowel.Resection or wedge resection of the bowel and primary intestinal anastomosis followed by planned relaparotomies every 24-48 hours.Mortality and morbidity with special reference to anastomotic leaks.Two patients died. Four of 20 wedge excisions in one patient leaked. All 19 end-to-end anastomoses in 10 patients healed without complications. Two patients developed small bowel fistulas which were not related to the anastomoses.Primary end-to-end anastomosis of the small bowel followed by planned relaparotomies seems a safe alternative to the creation of an enterostomy in patients with generalised purulent peritonitis and perforation of the bowel.
- University Medical Center Groningen Netherlands
- Radboud University Nijmegen Netherlands
- University of Groningen Netherlands
bowel fistula, COLONIC ANASTOMOSES, Adult, Male, Reoperation, wedge resection of bowel, multiple organ failure, LAVAGE, anastomotic leak, Peritonitis, planned relaparotomy, FECAL PERITONITIS, Anastomotic healing in the intestine, INFECTION, Intestine, Small, Humans, postoperative complication, Genezing van experimentele darmnaden, Aged, Aged, 80 and over, Laparotomy, Anastomosis, Surgical, enterostomy, Middle Aged, FIBRIN, Treatment Outcome, Female
bowel fistula, COLONIC ANASTOMOSES, Adult, Male, Reoperation, wedge resection of bowel, multiple organ failure, LAVAGE, anastomotic leak, Peritonitis, planned relaparotomy, FECAL PERITONITIS, Anastomotic healing in the intestine, INFECTION, Intestine, Small, Humans, postoperative complication, Genezing van experimentele darmnaden, Aged, Aged, 80 and over, Laparotomy, Anastomosis, Surgical, enterostomy, Middle Aged, FIBRIN, Treatment Outcome, Female
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