Marrosu, Antonio and Serventi, Fernando and Pulighe, F. and Paliogiannis, Panagiotis and Attene, Federico and Sotgiu, Giovanni and Trignano, Mario (2014) The "Virtual ileostomy" in elective colorectal surgery: is it useful? Techniques in Coloproctology, Vol. 18 (3), p. 319-320. eISSN 1128-045X. Article.
Full text not available from this repository.
Anastomotic dehiscence is a potentially lethal complication in colorectal surgery. In the literature, dehiscence rates of intraperitoneal anastomoses range from 2 to 4 % and those of low colorectal anastomoses range from 3 to 21 %. There is disagreement regarding the pathogenesis of anastomotic breakdown, and it is not possible to determine which patients will develop this complication. Some authors suggest fashioning a protective ileostomy in patients classified as "at risk", but the decision is mostly based on the surgeon’s experience. However, individuals with a protective stoma experience psychological discomfort and, furthermore, are at risk of complications related to the stoma itself and to its subsequent take down with reported morbidity rates reaching 30 %. The reduction in anastomotic breakdown and of the number of diverting stomas is actually one of the primary goals of colorectal surgery.
I documenti depositati in UnissResearch sono protetti dalle leggi che regolano il diritto d'autore
Repository Staff Only: item control page