EXTERIORIZED ANASTOMOSIS - ROLE IN SURGERY OF COLON

  • 1 January 1977
    • journal article
    • research article
    • Vol. 82  (3) , 362-365
Abstract
Sixty-one patients (59, trauma; 2, nontrauma) were managed from 1972-1976 utilizing an exteriorized colon anastomosis. Healing of the anastomosis was present in 42 (70%) of the patients, and 37 (62%) avoided colostomy. This procedure is a safe, reliable adjunct to be used in colon surgery when primary intraperitoneal repair is not desirable; the added operating time (20-30 min) will not be deleterious to the patient; the lesion is at least 18 cm above the peritoneal reflection; and the likelihood of a prolonged septic postoperative course is not high.

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