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横袢式结肠造口术的早期闭合

Early closure of transverse loop colostomies.

作者信息

Lewis A, Weeden D

出版信息

Ann R Coll Surg Engl. 1982 Jan;64(1):57-8.

Abstract

A transverse loop colostomy was constructed in 60 patients at the time of primary elective surgery and the stoma was then resected within one month under antibiotic cover. There was a single death unrelated to operation. Four patients developed faecal leakage, 1 became obstructed, and 6 had infected wounds. With the exception of colostomy closure following sutured coloanal anastomosis a transverse loop colostomy can be closed within one month of construction with acceptable morbidity.

摘要

60例患者在初次择期手术时行横袢式结肠造口术,然后在抗生素覆盖下于1个月内切除造口。有1例死亡与手术无关。4例出现粪便渗漏,1例发生肠梗阻,6例伤口感染。除缝合结肠肛管吻合术后关闭结肠造口外,横袢式结肠造口术可在造口术后1个月内关闭,并发症发生率可接受。

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1
Single and multiple dose cotrimoxazole and metronidazole in colorectal surgery.
Br J Surg. 1980 Feb;67(2):90-2. doi: 10.1002/bjs.1800670206.
2
Closure of colostomy.
Br J Surg. 1971 Sep;58(9):669-72. doi: 10.1002/bjs.1800580910.
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Results of closure of loop transverse colostomies.袢式横结肠造口关闭术的结果
Br Med J. 1972 Aug 19;3(5824):459-62. doi: 10.1136/bmj.3.5824.459.
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Colostomy closure--a simple procedure?结肠造口关闭术——一个简单的手术?
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Safety of colostomy closure.结肠造口关闭术的安全性。
Am J Surg. 1978 Jul;136(1):85-9. doi: 10.1016/0002-9610(78)90205-2.
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Prophylactic systemic antibiotics in colorectal surgery.
Lancet. 1977 Jul 2;2(8027):4-8. doi: 10.1016/s0140-6736(77)90003-4.

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