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Título : Reinterventions after damage control surgery Otros títulos : Reintervención en cirugía de control de daños Tipo de documento : documento electrónico Autores : David Alejandro Mejía Toro, Autor asociado al HPTU ; Salín Pereira Warr, Autor asociado al HPTU Fecha de publicación : 2021 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : Laparotomy Ostomy Thoracic Cavity Anastomosis Surgical Postoperative Period Cardiac Surgical Procedures Intensive Care Units Surgical Wound Infection Colostomy Abdominal Wall Reoperation Intra-Abdominal Hypertension Resumen : Damage control has well-defined steps. However, there are still controversies regarding whom, when, and how re-interventions should be performed. This article summarizes the Trauma and Emergency Surgery Group (CTE) Cali-Colombia recommendations about the specific situations concerning second interventions of patients undergoing damage control surgery. We suggest packing as the preferred bleeding control strategy, followed by unpacking within the next 48-72 hours. In addition, a deferred anastomosis is recommended for correction of intestinal lesions, and patients treated with vascular shunts should be re-intervened within 24 hours for definitive management. Furthermore, abdominal or thoracic wall closure should be attempted within eight days. These strategies aim to decrease complications, morbidity, and mortality. Mención de responsabilidad : Mejia, D., Pereira-Warr, S., Delgado-Lopez, C., Salcedo, A., Rodriguez-Holguín, F., Serna, J. J., Caicedo, Y., Pino, L. F., Gonzalez Hadad, A., Herrera, M. A., Parra, M., García, A., & Ordoñez, C. A. Referencia : Colomb Med (Cali). 2021 Jun 30;52(2):e4154805. DOI (Digital Object Identifier) : 10.25100/cm.v52i2.4805 PMID : 34908623 Derechos de uso : CC BY-NC En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4805 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reinterventions after damage control surgery = Reintervención en cirugía de control de daños [documento electrónico] / David Alejandro Mejía Toro, Autor asociado al HPTU ; Salín Pereira Warr, Autor asociado al HPTU . - 2021.
Obra : Colombia Médica
Idioma : Inglés (eng)
Palabras clave : Laparotomy Ostomy Thoracic Cavity Anastomosis Surgical Postoperative Period Cardiac Surgical Procedures Intensive Care Units Surgical Wound Infection Colostomy Abdominal Wall Reoperation Intra-Abdominal Hypertension Resumen : Damage control has well-defined steps. However, there are still controversies regarding whom, when, and how re-interventions should be performed. This article summarizes the Trauma and Emergency Surgery Group (CTE) Cali-Colombia recommendations about the specific situations concerning second interventions of patients undergoing damage control surgery. We suggest packing as the preferred bleeding control strategy, followed by unpacking within the next 48-72 hours. In addition, a deferred anastomosis is recommended for correction of intestinal lesions, and patients treated with vascular shunts should be re-intervened within 24 hours for definitive management. Furthermore, abdominal or thoracic wall closure should be attempted within eight days. These strategies aim to decrease complications, morbidity, and mortality. Mención de responsabilidad : Mejia, D., Pereira-Warr, S., Delgado-Lopez, C., Salcedo, A., Rodriguez-Holguín, F., Serna, J. J., Caicedo, Y., Pino, L. F., Gonzalez Hadad, A., Herrera, M. A., Parra, M., García, A., & Ordoñez, C. A. Referencia : Colomb Med (Cali). 2021 Jun 30;52(2):e4154805. DOI (Digital Object Identifier) : 10.25100/cm.v52i2.4805 PMID : 34908623 Derechos de uso : CC BY-NC En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4805 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001755 AC-2021-071 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2021-071Adobe Acrobat PDF Use of the gluteus maximus muscle as the neosphincter for restoration of anal function after abdominoperineal resection / Rodrigo Castaño Llano ; José Ignacio Restrepo Restrepo
Título : Use of the gluteus maximus muscle as the neosphincter for restoration of anal function after abdominoperineal resection Tipo de documento : documento electrónico Autores : Rodrigo Castaño Llano, Autor asociado al HPTU ; José Ignacio Restrepo Restrepo, Autor asociado al HPTU Fecha de publicación : 2013 Títulos uniformes : Techniques in Coloproctology Idioma : Inglés (eng) Palabras clave : Abdominoperineal resection Colostomy Fecal incontinence Gluteus maximus transposition Resumen : Background: Our aim was to evaluate complications and long-term functional outcome in patients who had sphincter reconstruction using the gluteus maximus muscle as the neosphincter after abdominoperineal resection for rectal cancer treatment. Methods: Seven patients underwent reconstruction from 2000 to 2010. First, the sigmoid colon was brought down to the perineum as a perineal colostomy, with the procedure protected by a loop ileostomy. Reconstruction of the sphincter mechanism using the gluteus maximus took place 3 months later, and after another 8–12 weeks, the loop ileostomy was closed. We studied the functional outcome of these interventions with follow-up interviews of patients and objectively assessed anorectal function using manometry and the Cleveland Clinic Florida (Jorge-Wexner) fecal incontinence score. Results: The mean follow-up was 56 months (median 47; range 10–123 months). One patient had a perianal wound infection and another had fibrotic stricture in the colocutaneous anastomosis that required several digital dilatations. Anorectal manometry at 3-month follow-up showed resting pressures from 10 to 18 mm Hg and voluntary contraction pressures from 68 to 187 mm Hg. Four patients had excellent sphincter function (Jorge-Wexner scores ≤5). Conclusions: Our preliminary results show that sphincter reconstruction by means of gluteus maximus transposition can be effective in restoring gastrointestinal continuity and recovering fecal continence in patients who have undergone APR with permanent colostomy for rectal cancer. Furthermore, the reconstruction procedure can be performed 2–4 years after the APR. Mención de responsabilidad : J D Puerta Díaz, R Castaño Llano, L J Lombana, J I Restrepo, G Gómez Referencia : Tech Coloproctol. 2013 Aug;17(4):425-9. DOI (Digital Object Identifier) : 10.1007/s10151-012-0961-z PMID : 23242561 En línea : https://link.springer.com/article/10.1007/s10151-012-0961-z Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Use of the gluteus maximus muscle as the neosphincter for restoration of anal function after abdominoperineal resection [documento electrónico] / Rodrigo Castaño Llano, Autor asociado al HPTU ; José Ignacio Restrepo Restrepo, Autor asociado al HPTU . - 2013.
Obra : Techniques in Coloproctology
Idioma : Inglés (eng)
Palabras clave : Abdominoperineal resection Colostomy Fecal incontinence Gluteus maximus transposition Resumen : Background: Our aim was to evaluate complications and long-term functional outcome in patients who had sphincter reconstruction using the gluteus maximus muscle as the neosphincter after abdominoperineal resection for rectal cancer treatment. Methods: Seven patients underwent reconstruction from 2000 to 2010. First, the sigmoid colon was brought down to the perineum as a perineal colostomy, with the procedure protected by a loop ileostomy. Reconstruction of the sphincter mechanism using the gluteus maximus took place 3 months later, and after another 8–12 weeks, the loop ileostomy was closed. We studied the functional outcome of these interventions with follow-up interviews of patients and objectively assessed anorectal function using manometry and the Cleveland Clinic Florida (Jorge-Wexner) fecal incontinence score. Results: The mean follow-up was 56 months (median 47; range 10–123 months). One patient had a perianal wound infection and another had fibrotic stricture in the colocutaneous anastomosis that required several digital dilatations. Anorectal manometry at 3-month follow-up showed resting pressures from 10 to 18 mm Hg and voluntary contraction pressures from 68 to 187 mm Hg. Four patients had excellent sphincter function (Jorge-Wexner scores ≤5). Conclusions: Our preliminary results show that sphincter reconstruction by means of gluteus maximus transposition can be effective in restoring gastrointestinal continuity and recovering fecal continence in patients who have undergone APR with permanent colostomy for rectal cancer. Furthermore, the reconstruction procedure can be performed 2–4 years after the APR. Mención de responsabilidad : J D Puerta Díaz, R Castaño Llano, L J Lombana, J I Restrepo, G Gómez Referencia : Tech Coloproctol. 2013 Aug;17(4):425-9. DOI (Digital Object Identifier) : 10.1007/s10151-012-0961-z PMID : 23242561 En línea : https://link.springer.com/article/10.1007/s10151-012-0961-z Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001027 AC-2013-115 Archivo digital Producción Científica Artículos científicos Disponible