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Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3582074/ https://www.ncbi.nlm.nih.gov/pubmed/23476761 http://dx.doi.org/10.1155/2013/823506 |
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author | Haas, Eric M. Pedraza, Rodrigo Ragupathi, Madhu Mahmood, Ali Bartley Pickron, T. |
author_facet | Haas, Eric M. Pedraza, Rodrigo Ragupathi, Madhu Mahmood, Ali Bartley Pickron, T. |
author_sort | Haas, Eric M. |
collection | PubMed |
description | 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/m(2) (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. |
format | Online Article Text |
id | pubmed-3582074 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-35820742013-03-09 Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy Haas, Eric M. Pedraza, Rodrigo Ragupathi, Madhu Mahmood, Ali Bartley Pickron, T. Minim Invasive Surg Clinical Study 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/m(2) (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. Hindawi Publishing Corporation 2013 2013-02-07 /pmc/articles/PMC3582074/ /pubmed/23476761 http://dx.doi.org/10.1155/2013/823506 Text en Copyright © 2013 Eric M. Haas et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Haas, Eric M. Pedraza, Rodrigo Ragupathi, Madhu Mahmood, Ali Bartley Pickron, T. Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy |
title | Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy |
title_full | Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy |
title_fullStr | Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy |
title_full_unstemmed | Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy |
title_short | Laparoscopic Primary Colorrhaphy for Acute Iatrogenic Perforations during Colonoscopy |
title_sort | laparoscopic primary colorrhaphy for acute iatrogenic perforations during colonoscopy |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3582074/ https://www.ncbi.nlm.nih.gov/pubmed/23476761 http://dx.doi.org/10.1155/2013/823506 |
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