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dc.contributor.authorTuran, M
dc.contributor.authorOk, E
dc.contributor.authorSen, M
dc.contributor.authorKoyuncu, A
dc.contributor.authorAydin, C
dc.contributor.authorErdem, M
dc.contributor.authorGuven, Y
dc.date.accessioned2019-07-27T12:10:23Z
dc.date.accessioned2019-07-28T10:24:37Z
dc.date.available2019-07-27T12:10:23Z
dc.date.available2019-07-28T10:24:37Z
dc.date.issued2002
dc.identifier.issn0941-1291
dc.identifier.urihttps://dx.doi.org/10.1007/s005950200192
dc.identifier.urihttps://hdl.handle.net/20.500.12418/11580
dc.descriptionWOS: 000179788100003en_US
dc.descriptionPubMed ID: 12444431en_US
dc.description.abstractPurpose. The operative strategy for left-sided large bowel obstruction remains controversial. Because a safe and definitive single-staged operation that avoided a colostomy would clearly be in the patients' best interest, we conducted a prospective study to compare the efficacy of single-staged surgery (SSS) supplemented by the milking and swabbing technique (MST), with the conventional Hartmann's procedure (HP). Methods. In group 1 (n = 37) we performed traditional HP by resecting the site of obstruction and constructing an end colostomy. In group 2 (n = 33), after resecting the site of obstruction, instead of on-table lavage, we cleaned out the fecal content from the proximal,and distal parts of the obstruction by milking the colon with the fingers, then swabbing the proximal and distal 10 cm of lumen of the colonic anastomosis with povidone iodinized stick sponges. Finally, we performed a primary one-layer anastomosis without fecal diversion. Results. The mortality, morbidity, and postoperative hospital stay after emergency left-side colonic resection and primary anastomosis by MST was comparable with those after HP (P > 0.05). Conclusions. We believe that SSS with MST is a viable choice in the surgical management of selected patients with obstructing lesions of the left colon. The advantages of SSS with MST lie in its good long-term results, and short-term reduced surgical intervention and hospital stay.en_US
dc.language.isoengen_US
dc.publisherSPRINGER-VERLAGen_US
dc.relation.isversionof10.1007/s005950200192en_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectleft colon carcinomaen_US
dc.subjectsingle-staged surgeryen_US
dc.subjectcolonic obstructionen_US
dc.subjectHartmann's procedureen_US
dc.titleA simplified operative technique for single-staged resection of left-sided colon obstructions: Report of a 9-year experienceen_US
dc.typearticleen_US
dc.relation.journalSURGERY TODAYen_US
dc.contributor.departmentCumhuriyet Univ, Fac Med, Dept Gen Surg, TR-58140 Sivas, Turkey -- Erciyes Univ, Gevher Nesibe Fac Med, Dept Gen Surg, TR-38140 Kayseri, Turkey -- Social Secur Hosp, TR-38040 Kayseri, Turkeyen_US
dc.identifier.volume32en_US
dc.identifier.issue11en_US
dc.identifier.endpage964en_US
dc.identifier.startpage959en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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