دورية أكاديمية
أعرض في EDS

Novel Approach to Treat Uncomplicated Sigmoid Volvulus Combining Minimally Invasive Surgery with Enhanced Recovery, in a Rural Hospital in Zambia.

التفاصيل البيبلوغرافية
العنوان: Novel Approach to Treat Uncomplicated Sigmoid Volvulus Combining Minimally Invasive Surgery with Enhanced Recovery, in a Rural Hospital in Zambia.
المؤلفون: van der Naald N; Department of Surgery, Saint Francis Mission Hospital, Private Bag 11, Katete (Eastern Province), Zambia.; Department of Surgery, Amsterdam Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands., Prins MI; Department of Surgery, Saint Francis Mission Hospital, Private Bag 11, Katete (Eastern Province), Zambia., Otten K; Department of Surgery, Saint Francis Mission Hospital, Private Bag 11, Katete (Eastern Province), Zambia., Kumwenda D; Department of Surgery, Saint Francis Mission Hospital, Private Bag 11, Katete (Eastern Province), Zambia., Bleichrodt RP; Department of Surgery, Saint Francis Mission Hospital, Private Bag 11, Katete (Eastern Province), Zambia. robert.bleichrodt@gmail.com.
المصدر: World journal of surgery [World J Surg] 2018 Jun; Vol. 42 (6), pp. 1590-1596.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 7704052 Publication Model: Print Cited Medium: Internet ISSN: 1432-2323 (Electronic) Linking ISSN: 03642313 NLM ISO Abbreviation: World J Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2024- : [Hoboken, NJ] : Wiley
Original Publication: New York, Springer International.
مواضيع طبية MeSH: Intestinal Volvulus/*surgery , Sigmoid Diseases/*surgery, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anastomosis, Surgical ; Clinical Protocols ; Colon, Sigmoid/surgery ; Female ; Hospitals, Rural/statistics & numerical data ; Humans ; Intestinal Volvulus/epidemiology ; Laparotomy ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures ; Perioperative Care ; Retrospective Studies ; Sigmoid Diseases/epidemiology ; Time Factors ; Young Adult ; Zambia/epidemiology
مستخلص: Aim: In sub-Saharan Africa, sigmoid volvulus is a frequent cause of bowel obstruction. The aim of this study was to evaluate the results of acute sigmoid resection and anastomosis via a mini-laparotomy in patients with uncomplicated sigmoid volvulus, following the principles of "Enhanced Recovery After Surgery (ERAS)", in a low-resource setting.
Materials and Methods: Patients with uncomplicated sigmoid volvulus were operated acutely, via a mini-laparotomy, according to the principles of ERAS. Intraoperative complications, duration of operation, morbidity, mortality and length of hospital stay were evaluated, retrospectively.
Results: From 1 March 2012 to 1 September 2017, 31 consecutive patients were treated with acute sigmoid resection and anastomosis, via a mini-laparotomy. There were 29 men and 2 women, median age 57 (range 17-92) years. Patients were operated after a median period of 4 (range 1.5-18) hours. The median duration of the operative procedure was 50 (range 30-105) minutes. Two patients died (6.3%). One patient died during an uncomplicated operation. The cause of death is unknown. One patient with a newly diagnosed HIV infection had an anastomotic dehiscence. After Hartmann's procedure, he died on the 17th post-operative day as a result of a HIV-related double-sided pneumonia, without signs of abdominal sepsis. One patient had an urinary retention and 1 patient haematuria after bladder catheter insertion.
Conclusion: Acute sigmoid resection and primary anastomosis via a mini-laparotomy for uncomplicated sigmoid volvulus, without preoperative endoscopic decompression is a safe procedure with a low morbidity and mortality.
التعليقات: Comment in: World J Surg. 2019 Feb;43(2):657. (PMID: 29435626)
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تواريخ الأحداث: Date Created: 20171223 Date Completed: 20181008 Latest Revision: 20181113
رمز التحديث: 20221213
DOI: 10.1007/s00268-017-4405-9
PMID: 29270653
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-2323
DOI:10.1007/s00268-017-4405-9