Kern E
Langenbecks Arch Chir. 1982;358:247-52. doi: 10.1007/BF01271792.
Anastomotic dehiscence has become rarer, but as it still occurs in every patient group, it is vital that it be considered. Factors for anastomotic healing are discussed. The submucosa is the most important layer for a patent anastomosis. Single-layer anastomosis using only the submucosa gives excellent results. If precautionary drainage is desired, there should be no direct contact between anastomosis and drain. For treatment of severe peritonitis serial peritoneal lavage has recently been used at the Wuerzburg University Hospital.
吻合口裂开已变得较为少见,但由于它仍会在每个患者群体中出现,因此对其加以考虑至关重要。文中讨论了吻合口愈合的相关因素。黏膜下层是保证吻合口通畅的最重要层次。仅使用黏膜下层进行单层吻合可取得极佳效果。若需要预防性引流,吻合口与引流管之间不应有直接接触。为治疗严重腹膜炎,维尔茨堡大学医院最近采用了连续腹膜灌洗术。