The controversy of management of left-sided colon obstructions: our experience | ||
| The Egyptian Journal of Surgery | ||
| Volume 43, Issue 2, April 2024 PDF (100.04 K) | ||
| DOI: 10.4103/ejs.ejs_295_23 | ||
| Authors | ||
| Sherif A. Saber; Tamer M. Elmahdy; Sherif Elgarf; Ahmed Swelam; Gamal Mousa; Mahmoud A. Eissa | ||
| Abstract | ||
| Purpose The controversy of treatment of acute colonic obstruction between the classical Hartmann's procedure (HP) and the on-table lavage technique with primary colorectal anastomosis (PCA) for a safe, tolerable, and definitive operation with the least complications is still standing. So we conducted this prospective study to distinguish between both techniques as regards the efficacy and safety. Methods In group A ( _ 30) the conventional Hartmann's procedure was done by colonic resection and construction of left-sided stoma. In the B group ( _ 30), colonic resection was followed by colonic lavage, then a primary two-layered anastomosis with covering ileostomy was performed. Results The whole postoperative outcomes were comparable between both techniques. Conclusions We believe that on table lavage technique with colorectal anastomosis is a notable choice during the treatment of acute obstruction of the left colon. | ||
| Keywords | ||
| colonic; left-sided; obstruction | ||
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