Application of retrograde intra-enteropexy through appendix stump for adhesive ileus
10.3760/cma.j.issn.1673-4904.2009.20.009
- VernacularTitle:经阑尾残端逆行肠内置管排列在粘连性肠梗阻再手术中的应用
- Author:
Xigui ZHOU
;
Jieliang HU
;
Shuangcheng FENG
;
Faping LI
;
Yan WANG
- Publication Type:Journal Article
- Keywords:
Intestinal obstruction;
Intra-enteropexy
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(20):26-28
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate operative method for preventing and treatment intestinal obstruction due to relapse adhesion.Methods Sixty patients with recurrent adhesive ileus treated by surgery were randomized into two groups,that was intra-enteropexy group and extra-enteropaxy group.Twenty-three patients in intra-enteropexy group were treated by retrograde intra-enteropaxy through appendix stump.Thirty-seven patients in the extra-enteropexy group were treated by Noble procedure.The effect and complication were compared.Results In the intra-enteropexy group,2 cases (8.70%) were complicated with incision infection,1 case was died (4.35%) and there was no relapsed,abdominal spastic pain and incomplete intestinal obstruction occurred.In the extra-enteropexy group,3 cases (8.11%) were complicated with incision infection,3 cases were died (8.11%),abdominal spastic pain were occurred in 11 cases (29.73%),incomplete intestinal obstruction were occurred in 6 cases(16.22%),and there were 3 cases run into relapse.Conclusion The retrograde intra-enteropexy through appendix stump is an effective method for preventing and treatment to adhesive ileus.
