【最终结肠造口术的技术细节】。

D Rădulescu, T Pătraşcu, I Cîmpeanu
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引用次数: 0

摘要

尽管许多外科医生仍然使用最初的技术——直肠旁切口,经腹膜束,继发修复多余的结肠——进行最终的终末结肠造口术,但这一过程毫无意义地使手术技术复杂化,经常导致并发症。这些缺点可以通过使用经直肠腹膜外临时成熟结肠造口术来避免,该造口术简化了手术技术,并防止了早熟并发症(腹膜炎、闭塞、顶骨脓肿、第二次“润饰”手术的必要性)和迟发性并发症(造口脱垂、造口旁脱出)。
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[The technical details of the definitive terminal colostomy].

Although many surgeons still perform the definitive terminal colostomy using the initial technique--pararectal incision, transperitoneal tract, secondarily retouched excess--this procedure complicates uselessly the surgical technique leading frequently to complications. These drawbacks might be avoided by using transrectal extraperitoneal extemporaneously matured colostomy that simplifies the surgical technique and prevents both precocious complications (peritonitis, occlusions, parietal abscess, necessity of a second "retouch" surgery) and also tardy complications (stomal prolapse, parastomal eventration).

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