Intraoperative colonic lavage in nonelective surgery for diverticular disease

Diseases of the Colon and Rectum

Volumn 40, Issue 6, 1997, Pages 669-674

  Lee, Edward C ^a,b   Murray, John J ^a   Coller, John A ^a   Roberts, Patricia L ^a   Schoetz Jr , David J ^a  

^a LAHEY HOSPITAL AND MEDICAL CENTER   (United States)

^b ALBANY MEDICAL CENTER   (United States)

Author keywords

Colectomy; Colostomy; Complication; Diverticulitis; Intraoperative colonic lavage; Peritonitis

Indexed keywords

ADULT; AGED; ARTICLE; COLON ANASTOMOSIS; COLON DIVERTICULOSIS; COLON HEMORRHAGE; COLON LAVAGE; COLON OBSTRUCTION; COLON PERFORATION; FEMALE; HUMAN; INTRAOPERATIVE PERIOD; MAJOR CLINICAL STUDY; MALE; PHLEGMON; POSTOPERATIVE COMPLICATION; POSTOPERATIVE INFECTION; SURGICAL MORTALITY; SURGICAL TECHNIQUE; TREATMENT INDICATION;

ABDOMINAL ABSCESS; ADULT; AGED; AGED, 80 AND OVER; ANASTOMOSIS, SURGICAL; COLECTOMY; DIVERTICULITIS, COLONIC; FEMALE; HUMANS; INTRAOPERATIVE PERIOD; IRRIGATION; LAPAROTOMY; MALE; MIDDLE AGED; PERITONITIS; RECURRENCE; SURGICAL WOUND INFECTION; TREATMENT OUTCOME;

EID: 0030919731     PISSN: 00123706     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF02140895     Document Type: Article

References (34)

1. Almy TP, Howell DA. Diverticular disease of the colon. N Engl J Med 1980;302:324-31.
2. Parks TG. Natural history of diverticular disease of the colon. Clin Gastroenterol 1975;4:53-69.
3. Rothenberger DA, Wiltz O. Surgery for complicated diverticulitis. Surg Clin North Am. 1993;73:975-92.
4. Parks TG. Natural history of diverticular disease of the colon: a review of 521 cases. BMJ 1969;4:639-45.
5. Rodkey GV, Welch CE. Changing patterns in the surgical treatment of diverticular disease. Ann Surg 1984;200: 466-78.
6. Ambrosetti P, Robert JH, Witzig JA, et al. Acute left colon diverticulitis: a prospective analysis of 226 consecutive cases. Surgery 1994;115:546-50.
7. Hackford AW, Schoetz DJ Jr, Coller JA, Veidenheimer MC. Surgical management of complicated diverticulitis: The Lahey Clinic Experience. 1967 to 1982. Dis Colon Rectum 1985;28:317-21.
8. Finlay IG, Carter DC. A comparison of emergency resection and staged management in perforated diverticular disease. Dis Colon Rectum 1987;30:929-33.
9. Nagorney DM, Adson MA, Pemberton JH. Sigmoid diverticulitis with perforation and generalized peritonitis. Dis Colon Rectum 1985;28:71-5.
10. Carty NJ, Corder AP, Johnson CD. Colostomy is no longer appropriate in the management of uncomplicated large bowel obstruction: true or false? Ann R Coll Surg Engl 1993;75:46-51.
11. Murray JJ, Schoetz DJ, Coller JA, Roberts PL, Veidenheimer MC. Intraoperative colonic lavage and primary anastomosis in nonelective colon resection. Dis Colon Rectum 1991;34:527-31.
12. Scott HJ, Lane IF, Glynn MJ. Colonic hemorrhage: a technique for rapid intra-operative bowel preparation and colonoscopy. Br J Surg 1986;73:390-1.
13. Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg 1978; 12:85-109.
14. Scott-Conner CE, Scher KS. Implications of emergency operations on the colon. Am J Surg 1987;153:535-40.
15. Irvin GL, Horsley S, Caruana JA. The morbidity and mortality of emergent operations for colorectal disease. Ann Surg 1984;199:598-603.
16. Gordon PH. Diverticular disease of the colon. In: Gordon PH, Nivatvongs S. Principles and practice of surgery for the colon, rectum and anus. St. Louis: Quality Medical Publishing, 1992.
17. Hulkko OA, Laitinen ST, Haukipuro HA, Stahlberg MJ, Juvonen TS, Kairaluoma MI. The Hartmann procedure for the treatment of colorectal emergencies. Acta Cir Scand 1986;152:531-53.
18. Ravo B, Metwally N, Castera P, Polansky PJ, Ger R. The importance of intraluminal anastomotic fecal contact and peritonitis in colonic anastomotic leakage. Dis Colon Rectum 1988;31:868-71.
19. Tornqvist A, Forsgren A, Faldt K, Jiborn H, Zederfeldt B. Bacterial load and inflammatory reaction in the bowel wall after colonic obstruction. Eur J Surg 1991;157: 539-54.
20. Smith SR, Connolly JC, Gilmore OJ. The effect of faecal loading on colonic anastomotic healing. Br J Surg 1983; 70:49-50.
21. Tornqvist A, Blomquist P, Jiborn H, Zederfeldt B. Anastomotic healing after resection of left colon stenosis: effect on collagen matabolism and anastomotic strength. Dis Colon Rectum 1990;33:217-21.
22. Irvin TT, Goligher JC. Aetiology of disruption of intestinal anastomoses. Br J Surg 1973;60:462-4.
23. Irvin TT. Collagen metabolism in infected colonic anastomoses. Surg Gynecol Obstet 1976;143:220-4.
24. Tornqvist A, Jiborn H, Zederfeldt B, Forsgren A. Perioperative contamination and anastomotic leakage after resection for left colon stenosis. Int J Colorectal Dis 1990;5:164-6.
25. Schrock TR, Deveney CW, Dunphy JE. Factors contributing to leakage of colonic anastomosis. Ann Surg 1973; 177:513-8.
26. Stephenson BM, Shandall AA, Farouk R, Griffin G. Malignant left-sided large bowel obstruction managed by subtotal/total colectomy. Br J Surg 1990;77:1098-102.
27. Brief DK, Brener BJ, Goldenkranz R, et al. Defining the role of subtotal colectomy in the treatment of carcinoma of the colon. Ann Surg. 1991;213:248-52.
28. Radcliffe AG, Dudley HA. Intraoperative antegrade irrigation of the large intestine. Surg Gynecol Obstet 1983; 156:721-3.
29. Koruth NM, Krukowski ZH, Youngson GG, et al. Intraoperative colonic irrigation in the management of left-sided large bowel emergencies. Br J Surg 1985;72: 708-11.
30. Pollock AV, Playforth MJ, Evans BA. Perioperative lavage of the obstructed left colon to allow safe primary anastomosis. Dis Colon Rectum 1987;30:171-3.
31. Tan SG, Nambia R, Rauff A, Ngoi SS, Goh HS. Primary resection and anastomosis in obstructed descending colon due to cancer. Arch Surg 1991;126:748-50.
32. Stewart J, Diament RH, Brennan TG. Management of obstructing lesions of the left colon by resection, ontable lavage, and primary anastomosis. Surgery 1993; 114:502-5.
33. Thomson WH, Carter SS. On table lavage to achieve safe restorative rectal and emergency left colonic resection without covering colostomy. Br J Surg 1986;73: 61-3.
34. West of Scotland and Highland Anastomosis Study Group. Suturing or stapling in gastrointestinal surgery: a prospective randomized study. Br J Surg 1991; 78:337-4.