Technical considerations on the peritonitic forms of postoperative necrotizing enteritis: about 2 observations
Consideraciones técnicas sobre las formas peritoníticas de la enteritis necrotizante postoperatoria: a propósito de 2 observaciones
Resumen:
Two cases of post-operative necrotizing enteritis, of the peritonitic type, treated surgically and with a favorable course, are reported upon. A number of features underlying thesurgical technique used in these cases, are considered. The following conclusions are reached: 1) The greater extension of the mucous tissue lesions requires a careful examinationin order to determine the safety level for consecutive resection and anastomosis. 2) Simple closure with re-inforcement intestinal folding according to the technique advocated by Noble for perforated cases, has proved of great usefulness and ready application.
Se presentan dos observaciones de enteritis necrotizante postoperatoria a forma peritonítica, tratadas quirúrgicamente y con evolución favorable . Se analizan algunos aspectos referentes a la técnica quirúrgica aplicada en estos casos y a sus fundamentos condicionantes, subrayándose las siguientes conclusiones: 138 1) La mayor extensión de las lesionesmucosas, requiere su cuidadosa inspección para determinar el nivel seguro para la resección y la anastomosis consecutiva. 2) La aplicación a los casos perforados del cierre simple con plegamiento intestinal de refuerzo, según técnica preconizada por Noble, es un recurso de gran utilidad y de realización sencilla.
2020 | |
lesiones intestino delgado cirugía small intestine injuries surgery |
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Español | |
Sociedad de Cirugía del Uruguay | |
Revista Cirugía del Uruguay | |
https://revista.scu.org.uy/index.php/cir_urug/article/view/1865 | |
Acceso abierto |
Sumario: | Two cases of post-operative necrotizing enteritis, of the peritonitic type, treated surgically and with a favorable course, are reported upon. A number of features underlying thesurgical technique used in these cases, are considered. The following conclusions are reached: 1) The greater extension of the mucous tissue lesions requires a careful examinationin order to determine the safety level for consecutive resection and anastomosis. 2) Simple closure with re-inforcement intestinal folding according to the technique advocated by Noble for perforated cases, has proved of great usefulness and ready application. |
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