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[结肠损伤的外置缝合术]

[Exteriorized suture of injuries of the colon].

作者信息

Palot J P, Delattre J F, Flament J B

机构信息

Clinique Chirurgicale de l'Université, Hôpital Robert Debré, Reims.

出版信息

J Chir (Paris). 1988 Aug-Sep;125(8-9):525-7.

PMID:3056963
Abstract

When the use of an intraperitoneal suture of a colon wound does not appear reasonable due to a delay in treatment or the marked peritoneal contamination, temporary exteriorization of the sutured colon can constitute a valuable alternative to pure and simple exteriorization of the colon wound. Cicatrization of the colon suture can be obtained outside the abdominal cavity in more than half the cases. The colon can then be integrated simply at about the 15th day, avoiding in this way the disagreeable need for prolonged colostomy and the potential risks of a construction of a secondary circuit. This process was used in 6 injured patients and healing was obtained in 3.

摘要

当由于治疗延迟或明显的腹腔污染,对结肠伤口进行腹腔内缝合似乎不合理时,将缝合后的结肠暂时外置可成为结肠伤口单纯外置的一种有价值的替代方法。在超过半数的病例中,结肠缝合口可在腹腔外愈合。然后在大约第15天可简单地将结肠还纳,从而避免了长期结肠造口带来的不适以及构建二期肠管的潜在风险。该方法应用于6例受伤患者,3例获得愈合。

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