titoli, abstracts, parole chiave >>>
Conservative management of minor anastomotic leakage after open elective colorectal surgery

Paliogiannis, Panagiotis and Attene, Federico and Scognamillo, Fabrizio and Trignano, Emilio and Torre, Carlo and Pulighe, Fabio and Trignano, Mario (2012) Conservative management of minor anastomotic leakage after open elective colorectal surgery. Annali italiani di chirurgia, Vol. 83 (1), p. 25-28. ISSN 0003-469X. Article.

Full text not available from this repository.

Alternative URLs:


Introduction: The utility of prophylactic drainage in colorectal surgery is controversial. The aim of the present article is to study the role of drainage tubes on the management of minor anastomotic dehiscences.
Patients and Methods: We retrospectively review clinical reports of 18 consecutive patients with anastomotic dehiscence after open elective colorectal surgery. The mean age was 63 years and the male – female ratio was 5:1. Nine (50%) patients underwent re-operation for fecal peritonitis (group A) while the remaining nine (50%) were managed conservatively (group B). The parameters evaluated in both groups were: time of the anastomotic breakdown, clinical findings, amount of fluid drained the day of the dehiscence, diagnostic means used, length of stay and mortality.
Results: Anastomotic leakages were observed medially after 3,6 days from surgery in group A and after 5.6 days in group B. The most frequent clinical manifestations were: fecal material through the tubes (88.9%), pelvic pain (88.9%) and fever (77.8%). Patients in group A had a median faecal fluid flow of 235cc the day of the dehiscence and 130cc those in group B. Imaging was employed only in three cases in group A and in all cases in group B. The length of hospital stay was longer in patients treated surgically: 37 days versus 29 in those treated conservatively.
Conclusions: Minor anastomotic leakages generally occur later than greater ones, they have a milder clinical presentation and can be managed conservatively with the use of drain tubes.

Item Type:Article
ID Code:9332
Uncontrolled Keywords:Anastomotic leak, colorectal surgery, dehiscence, drainage tubes
Subjects:Area 06 - Scienze mediche > MED/18 Chirurgia generale
Divisions:001 Università di Sassari > 01 Dipartimenti > Chirurgia, microchirurgia e specialità medico-chirurgiche
Publisher:Edizioni Luigi Pozzi
Deposited On:25 Nov 2013 10:30

I documenti depositati in UnissResearch sono protetti dalle leggi che regolano il diritto d'autore

Repository Staff Only: item control page