Kurbanov Ch Iu
Vestn Khir Im I I Grek. 1977 Feb;118(2):42-4.
The author presents an analysis of the data obtained in 8500 patients operated upon for acute appendicitis, in 62 of them the postoperative period was complicated by intestinal fistula. It was found that the main causes of occurrence of intestinal fistulas are as follows: late terms of hospitalization and operative treatment of patients with acute appendicitis, some damage to the bowel due to inadequate access in appendectomy. The author advocates an earlier operative treatment for acute appendicitis and the use of a wide approach (transverse) in appendectomy.
作者对8500例接受急性阑尾炎手术的患者所获得的数据进行了分析,其中62例患者术后出现肠瘘并发症。研究发现,肠瘘发生的主要原因如下:急性阑尾炎患者住院及手术治疗延迟,阑尾切除术中因手术入路不当对肠道造成一定损伤。作者主张对急性阑尾炎进行早期手术治疗,并在阑尾切除术中采用广泛的(横向)入路。