Enger E A, Olsen L
Prog Pediatr Surg. 1979;13:207-10.
The main factor causing a fatal outcome as well as the serious life threatening complications is anastomotic dehiscence. On the basis of our retrospective study we will sum up the following possible factors (not in order of importance): 1. Faulty suture techniques. 2. Pelvic seroma, haematoma or abscess with breakthrough into the lumen. 3. Tension on the suture line. 4. Deficient blood supply of either the distal colon, stump or the remaining rectum. Finally we would, on the basis of our study, like to make a plea for more and better colostomies or ileostomies; preoperatively as therapy in the sick child whose condition does not improve promptly with a rectal tube and, lastly, as postoperative cover to protect whatever anastomosis has been performed.
导致致命后果以及严重危及生命并发症的主要因素是吻合口裂开。基于我们的回顾性研究，我们总结出以下可能因素（不分重要性顺序）：1. 缝合技术不当。2. 盆腔血清肿、血肿或脓肿破入肠腔。3. 缝合线张力。4. 远端结肠、残端或剩余直肠的血液供应不足。最后，基于我们的研究，我们呼吁更多且更好地施行结肠造口术或回肠造口术；术前作为对病情未因直肠管而迅速改善的患病儿童的治疗方法，最后，作为术后保障措施以保护已施行的任何吻合口。
