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Colotomy with minimum resection for advanced irreducible intussusception
- Source :
- Journal of pediatric surgery. 26(1)
- Publication Year :
- 1991
-
Abstract
- A patient having a resection anastomosis for advanced (apex up to midsigmoid or beyond) irreducible intussusception would end up having an ileosigmoid or ileorectal anastomosis. The outer layer of the intussusception is almost never gangrenious; this outer layer can be saved by colotomy with minimum resection. The procedure consists of a colotomy made on the outer tube just proximal to the apex, and the apex is delivered and amputated. The inner tube is pulled out, the intermediate tube is reduced, trimming off the margins of both ends and anastomosis is made between ileum and ascending colon. This method offers the advantage of conserving a major part of the large bowel.
- Subjects :
- Male
medicine.medical_specialty
Colon
Anastomosis
Surgical anastomosis
Ileum
Intussusception (medical disorder)
medicine
Ascending colon
Humans
Tube (container)
Colotomy
business.industry
Ileal Diseases
Anastomosis, Surgical
Invagination
Infant
General Medicine
medicine.disease
Surgery
Apex (geometry)
Pediatrics, Perinatology and Child Health
Female
business
Intussusception
Subjects
Details
- ISSN :
- 00223468
- Volume :
- 26
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of pediatric surgery
- Accession number :
- edsair.doi.dedup.....8c8294f674599f366c64fc224476b12b