Management of Anstomotic Leakage after Colorectal Surgery
Ahmed Mohamed El Sherbiny;
Abstract
ABSTRACT
In cases of low rectal anastomosis, Fraccalvieri et al. begin by checking the suture by digital examination. In the presence of major disruption (more than half of the circumference) or ischemia, the anastomosis should be resected with the creation of an end stoma. In the presence of minor dehiscence or when firm adhesions make the defect not visible, they recommend performing a loop ileostomy with drainage of the leaking anastomosis left in situ. In low rectal anastomoses, they consider it sensible and reasonable to avoid long pelvic dissections in an emergency reoperation. Performing a total revision of an extraperitoneal rectal anastomosis could lead to a coloanal anastomosis with a higher risk of subsequent problems.
In cases of low rectal anastomosis, Fraccalvieri et al. begin by checking the suture by digital examination. In the presence of major disruption (more than half of the circumference) or ischemia, the anastomosis should be resected with the creation of an end stoma. In the presence of minor dehiscence or when firm adhesions make the defect not visible, they recommend performing a loop ileostomy with drainage of the leaking anastomosis left in situ. In low rectal anastomoses, they consider it sensible and reasonable to avoid long pelvic dissections in an emergency reoperation. Performing a total revision of an extraperitoneal rectal anastomosis could lead to a coloanal anastomosis with a higher risk of subsequent problems.
Other data
| Title | Management of Anstomotic Leakage after Colorectal Surgery | Other Titles | علاج التسرب التفاغرى بعد جراحة القولون والمستقيم | Authors | Ahmed Mohamed El Sherbiny | Issue Date | 2018 |
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