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Anastomic dehiscence and severe peritonitis.

机译:吻合口裂开和严重的腹膜炎。

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Fifteen years of experience in the management of postoperative complications following GI surgery are reviewed. In the surgical ICU of the Hopital Saint Antoine, Paris, France, a referral center for these conditions, 385 cases of postoperative peritonitis and 500 cases of enterocutaneous fistulas were observed from 1980 to 1995. Original techniques of management are described in surgical treatment: temporary stomas, intubation irrigation of leaks situated on the upper GI tract, primary closure of the abdominal wall without tension. New methods of intensive care of intestinal conditions have also been designed: control and/or obturation of complex enterocutaneous fistulas, reinfusion of chyme into the distal small bowel and continuous enteral nutrition. In accordance with their experience in this field, the authors review the most controversial points of surgical technique and intensive care.
机译:回顾了胃肠道手术后在并发症管理方面的十五年经验。在法国巴黎Hopital Saint Antoine的外科重症监护病房(ICU)中,针对这些情况进行了转诊,从1980年至1995年观察到385例术后腹膜炎和500例肠皮瘘。治疗的原始技术描述为:临时气孔,气管插管冲洗位于胃肠道上段,腹壁基本闭合而无张力。还设计了重症肠道疾病的新方法:控制和/或阻塞复杂的肠皮瘘,将食糜再输注到小肠远端以及持续的肠内营养。根据他们在这一领域的经验,作者回顾了外科技术和重症监护中最具争议的观点。

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