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采用弯型吻合器在镇静下纠正末端结肠造口脱垂。

Correction of end colostomy prolapse using a curved surgical stapler, performed under sedation.

机构信息

City Hospital, Birmingham, B18 7QH, UK.

出版信息

Tech Coloproctol. 2010 Jun;14(2):165-7. doi: 10.1007/s10151-010-0568-1. Epub 2010 Mar 23.

DOI:10.1007/s10151-010-0568-1
PMID:20309716
Abstract

Acute stoma prolapse most commonly occurs following emergency surgery, frequently in patients with significant medical co-morbidities. Correction often requires re-laparotomy and resiting of the stoma, placing an already frail patient at risk of further morbidity. An elderly patient experienced an end colostomy prolapse 14 days following emergency laparotomy. A novel technique was employed using the CONTOUR curved stapling device to excise the prolapsed segment, under a brief period of intravenous sedation, thereby avoiding the sequelae of general anaesthetic. No complications were experienced, and the patient was deemed fit for discharge 5-days post re-intervention.

摘要

急性造口脱垂最常发生于急诊手术后,常发生于合并有严重合并症的患者。造口复位通常需要再次剖腹手术,这会使已经脆弱的患者面临更多的发病风险。一位老年患者在急诊剖腹手术后 14 天发生末端结肠造口脱垂。我们采用 CONTOUR 曲线吻合器行脱垂肠段切除术,在短暂的静脉镇静下完成手术,从而避免全身麻醉的后遗症。患者未出现任何并发症,在再次干预治疗 5 天后被认为适合出院。

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