Laparostomy for severe intra-abdominal infection complicating colorectal disease |
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Authors: | C. M. H. Bailey B.M. B.Ch. M. W. Thompson-Fawcett M.B. Ch.B. M. G. W. Kettlewell M.Chir. C. Garrard D.Phil. Mr. N. J. M. Mortensen M.D. |
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Affiliation: | (1) Critical Care Medicine, John Radcliffe Hospital, Oxford, United Kingdom;(2) Department of Colorectal Surgery, John Radcliffe Hospital, OX3 9DU Oxford, United Kingdom |
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Abstract: | PURPOSE: The aim of this study was to evaluate the use of laparostomy in the management of patients with severe intra-abdominal infection resulting from colorectal disease. METHODS: Seven patients, four with inflammatory bowel disease, two with colorectal carcinoma, and one with diverticular perforation, underwent laparostomy during a six-year period for postoperative, severe, intra-abdominal infection. RESULTS: The median age was 42 years, the mean Acute Physiology and Chronic Health Evaluation II score was 22.7, and the observed mortality was 28.6 percent (2/7 patients). In one patient the laparostomy was closed at 11 days; in all the others the wound was left to heal by granulation and contraction, and two of these later required reconstructive surgery. The median follow-up was three years and seven months. CONCLUSION: Laparostomy is an effective and practical method of managing patients with severe intra-abdominal infection as a result of colorectal disease.Presented at the European Council of Coloproctology Biennial Meeting, Edinburgh, United Kingdom, June 17 to 19, 1997. |
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Keywords: | Laparostomy Colorectal disease Intraabdominal infection SIRS |
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