Premium
SMALL BOWEL OBSTRUCTION FOLLOWING ABDOMINOPERINEAL EXCISION OF THE RECTUM
Author(s) -
HUGHES E. S. R.
Publication year - 1959
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1959.tb06971.x
Subject(s) - medicine , rectum , complication , surgery , abdominoperineal resection , fibrous joint , suture line , general surgery , colorectal cancer , cancer
Summary 1. A series of 6 cases subjected to abdominoperineal excision of the rectum and com‐, plicated in the immediate post‐operative period by herniation of a knuckle of small intestine through the pelvic peritoneal suture line is recorded. 2. The complication is due to a defect appearing immediately after operation because symptoms appeared on the first or second post‐operative day. 3. The most important symptom was pain on the second post‐operative day. This was often associated with a rise in temperature which was misleading. 4. The complication is likely to be overlooked because symptoms are not typical of obstruction until relatively late. 5. The complication can be prevented by attention to suturing of the pelvic peritoneum. A continuous interlocking suture reinforced with interrupted sutures is recommended.