Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy
Joint Authors
Pedraza, Rodrigo
Pickron, T. Bartley
Haas, Eric M.
Mahmood, Ali
Ragupathi, Madhu
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-07
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purpose.
We present our experience with laparoscopic colorrhaphy as definitive surgical modality for the management of colonoscopic perforations.
Methods.
Over a 17-month period, we assessed the outcomes of consecutive patients presenting with acute colonoscopic perforations.
Patient characteristics and perioperative parameters were tabulated.
Postoperative outcomes were evaluated within 30 days following discharge.
Results.
Five female patients with a mean age of 71.4 ± 9.7 years (range: 58–83), mean BMI of 26.4 ± 3.4 kg/m2 (range: 21.3–30.9), and median ASA score of 2 (range: 2-3) presented with acute colonoscopic perforations.
All perforations were successfully managed through laparoscopic colorrhaphy within 24 hours of development.
The perforations were secondary to direct trauma (n=3) or thermal injury (n=2) and were localized to the sigmoid (n=4) or cecum (n=1).
None of the patients required surgical resection, diversion, or conversion to an open procedure.
No intra- or postoperative complications were encountered.
The mean length of hospital stay was 3.8 ± 0.8 days (range: 3–5).
There were no readmissions or reoperations.
Conclusion.
Acute colonoscopic perforations can be safely managed via laparoscopic primary repair without requiring resection or diversion.
Early recognition and intervention are essential for successful outcomes.
American Psychological Association (APA)
Haas, Eric M.& Pedraza, Rodrigo& Ragupathi, Madhu& Mahmood, Ali& Pickron, T. Bartley. 2013. Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy. Minimally Invasive Surgery،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-500957
Modern Language Association (MLA)
Haas, Eric M.…[et al.]. Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy. Minimally Invasive Surgery No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-500957
American Medical Association (AMA)
Haas, Eric M.& Pedraza, Rodrigo& Ragupathi, Madhu& Mahmood, Ali& Pickron, T. Bartley. Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy. Minimally Invasive Surgery. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-500957
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-500957