Primary Bowel Repair with Exteriorization of Anastomosis– A Hospital Based Study
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 10
Abstract
Background: A defunctioning stoma is used primarily to protect the anastomosis and prevent sepsis. However, temporary stoma is a morbid condition in itself affecting quality of life. Exteriorized anastomosis is an alternative in high-risk situations as it avoids intraperitoneal anastomotic leak and the risks of a second procedure. Aim: 1.To see the feasibility of exteriorized bowel repair as an alternative to stomas i.e.ileostomy and colostomy.2.To evaluate morbidity in terms of duration of hospital stay and complication rate in patients with exteriorized bowel repair as well as mortality, if any. Design and Place: This is a prospective observational study which was carried out in 30(thirty) patients admitted in Post Graduate Department of Surgery Government Medical College, Jammu over a period of one year w.e.f. November 2012 to October 2013. Method: 30 patients were subjected to primary bowel repair with exteriorization of anastomosis. ‘Drop-back’ of exteriorized anastomotic segment is done under local or mask anaesthesia if there is no leak from anastomosis. Immediate complications are noted and dealt accordingly. Result: Of the 30 patients included in our study, there was no need of stoma in 10 patients. In 20 patients due to anastomotic leak, the exteriorized segment functioned as stoma with no intra-abdominal collection. Conclusion: Exteriorization of primary repair with subsequent delayed return of the repaired bowel to its intra-abdominal location represents an intermediate between primary repair and stoma formation. The procedure lacks the severity of intraperitoneal suture dehiscence and other complications of stoma.
Authors and Affiliations
Mubashar Akram
Keywords
Related Articles
- EP ID EP529554
- DOI -
- Views 64
- Downloads 0
Correlation of ECG and 2d-EHO to Estimate the Site and Extent of Myocardial Infarction
Cardiovascular disease accounts for approximately 12 million deaths annually and is the commonest cause of death globally. Estimating the site and extent of MI by ECG can serve as a useful supplement for prognostificatio...
To Diagnose Abdominal Solid Organ Injury in poor population with limited resources and lack of Advanced Diagnostic Tools
Background: A prospective analysis of all patients aged 14 years and above with solid organ injury of abdomen secondary to blunt trauma, admitted in routine & emergency hours in General Surgery in Index Medical College H...
A Study on the Foot Ulcer Disease in Diabetic Patients and Its Treatment
Lower extremity complications in persons with diabetes have become an increasingly significant public health concern in both the developed and developing world. These complications, beginning with neuropathy and subseque...
Hematologic Analysis of Pancytopenia and Correlation with Bone Marrow Findings: Study in a Tertiary Care Centre
Background: Pancytopenia is one of the most common haematological disorders, which is characterized by decrease in all the formed elements of blood. Pancytopenia occurs either due to certain primary conditions affecting...
Preoperative Predictors for Conversion in Laparoscopic Cholecystectomy
Introduction: Laparoscopic cholecystectomy has rejuvenated general surgery and in very short time has become the gold standard operation for benign gallbladder disease, but the procedure is technically more demanding tha...