The controversy of management of left-sided colon obstructions: our experience

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Abstract

Purpose
The controversy of treatment of acute colonic obstruction between the classical Hartmann's procedure (HP) and the on-table lavage technique with primary colorectal anastomosis (PCA) for a safe, tolerable, and definitive operation with the least complications is still standing. So we conducted this prospective study to distinguish between both techniques as regards the efficacy and safety.
Methods
In group A ( _ 30) the conventional Hartmann's procedure was done by colonic resection and construction of left-sided stoma. In the B group ( _ 30), colonic resection was followed by colonic lavage, then a primary two-layered anastomosis with covering ileostomy was performed.
Results
The whole postoperative outcomes were comparable between both techniques.
Conclusions
We believe that on table lavage technique with colorectal anastomosis is a notable choice during the treatment of acute obstruction of the left colon.

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