Emergency one-stage surgery for acute, complicated, left-sided colonic cancer can be performed because of intraoperative antegrade irrigation of the large intestine. This procedure was performed in 17 patients: 15 patients with an obstructive, left-sided cancer and two patients with a perforated car
Quicker intraoperative colonic irrigation
โ Scribed by S. P. Y. Kwok; J. S. Varma; Professor A. K. C. Li
- Publisher
- John Wiley and Sons
- Year
- 1989
- Tongue
- English
- Weight
- 134 KB
- Volume
- 76
- Category
- Article
- ISSN
- 0007-1323
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โฆ Synopsis
permanent ileostomy are encouraging. We believe that secondary megarectum is an indication for this operation as all our patients are continent and are able to defaecate; however, three of six still complain of abdominal pain and distension.
It is disappointing that the physiological results are unable to predict those patients having a poor outcome. In view of the emotional disorders seen in some of these patients we have embarked upon the use of an assessment of anxiety and depression as a screening procedure before surgical treatment. Preliminary results" seem to indicate that patients with high anxiety and depression scores are likely to do badly whatever physiological abnormalities are observed.
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