دورية أكاديمية
Cecum to pelvis technique: a simple and autologous solution to prevent postoperative complications in pelvic surgery.
| العنوان: | Cecum to pelvis technique: a simple and autologous solution to prevent postoperative complications in pelvic surgery. |
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| المؤلفون: | Guadalajara H; Department of General and Digestive Surgery, Hospital Universitario Fundación Jiménez Díaz, Reyes Catolicos Avenue, 2. 28040, Madrid, Spain. h.guadalajara@quironsalud.es., Toups SM; Department of General and Digestive Surgery, Hospital Universitario Fundación Jiménez Díaz, Reyes Catolicos Avenue, 2. 28040, Madrid, Spain., León-Arellano M; Department of General and Digestive Surgery, Hospital Universitario Fundación Jiménez Díaz, Reyes Catolicos Avenue, 2. 28040, Madrid, Spain., Vizarreta A; Department of Radiology, Hospital Infanta Elena, Madrid, Spain., García-Olmo D; Department of General and Digestive Surgery, Hospital Universitario Fundación Jiménez Díaz, Reyes Catolicos Avenue, 2. 28040, Madrid, Spain. |
| المصدر: | International journal of colorectal disease [Int J Colorectal Dis] 2024 May 26; Vol. 39 (1), pp. 79. Date of Electronic Publication: 2024 May 26. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer International Country of Publication: Germany NLM ID: 8607899 Publication Model: Electronic Cited Medium: Internet ISSN: 1432-1262 (Electronic) Linking ISSN: 01791958 NLM ISO Abbreviation: Int J Colorectal Dis Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Heidelberg] : [New York : Springer International ; Springer-Verlag, distributor], 1986- |
| مواضيع طبية MeSH: | Cecum*/surgery , Pelvis*/surgery , Postoperative Complications*/prevention & control , Postoperative Complications*/etiology, Humans ; Female ; Male ; Middle Aged ; Tissue Adhesions/prevention & control ; Tissue Adhesions/etiology ; Adult ; Intestinal Obstruction/prevention & control ; Intestinal Obstruction/etiology ; Intestinal Obstruction/surgery ; Aged |
| مستخلص: | Background: Empty Pelvis Syndrome, subsequent to the removal of pelvic organs, results in the descent of the small bowel into an inflamed pelvic cavity, leading to the formation of adhesions and subsequent small bowel obstruction. However, no effective measures have been previously described. Objective: Describe a simple and autologous solution to prevent "Empty Pelvis Syndrome," small bowel obstruction, and adhesions by utilizing the cecum to occlude the pelvis. Design: Mobilization of the right colon to lower the cecum into the pelvic cavity to occlude the superior pelvic ring to some degree and changing the direction of the terminal ileum. Settings: Hospital Universitario Fundación Jiménez Díaz, Department of General Surgery, Colorectal Service. Patients: Eight anonymized patients were included in this study, each with varying colorectal pathologies. Patients were above 18 years old. Main Outcome Measures: Percent of blockage of the superior pelvic ring produced by the descended cecum recorded in percentage; the amount of small intestine descended past the superior pelvic ring recorded in cm. Results: The mobilization of the cecum achieved partial occlusion of the superior pelvic ring. The descent of the small bowel beyond this landmark ranged from 0 to 4.9 cm. Limitations: Given the small number of patients included in this study, these results cannot be generalized to the whole of the population. A bladder emptying protocol prior to CT scans was not implemented, resulting in variations in measurements among patients. Conclusion: The cecum-to-pelvis technique is a simple method that can serve as an autologous solution to EPS (enteropelvic fistula) and help reduce postoperative complications such as SBO (small bowel obstruction) and adhesions. It is not essential to completely occlude the superior pelvic ring to achieve successful outcomes. (© 2024. The Author(s).) |
| التعليقات: | Erratum in: Int J Colorectal Dis. 2024 Jun 10;39(1):88. doi: 10.1007/s00384-024-04664-1. (PMID: 38856771) |
| References: | Gynecol Oncol. 2004 Aug;94(2):589-92. (PMID: 15297211) Eur J Surg Oncol. 2007 Jun;33(5):586-9. (PMID: 17360143) Colorectal Dis. 2022 Jan;24(1):16-26. (PMID: 34653292) Int J Gynecol Cancer. 2022 Jan;32(1):114. (PMID: 34725204) |
| فهرسة مساهمة: | Keywords: Abdominal perineal resection; Adhesions; Adhesive small bowel obstruction; Cecum; Empty Pelvis Syndrome; Pelvic exenteration; Pelvic occlusion |
| تواريخ الأحداث: | Date Created: 20240526 Date Completed: 20240526 Latest Revision: 20240612 |
| رمز التحديث: | 20240612 |
| مُعرف محوري في PubMed: | PMC11128393 |
| DOI: | 10.1007/s00384-024-04649-0 |
| PMID: | 38797803 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1432-1262 |
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| DOI: | 10.1007/s00384-024-04649-0 |