Primary resection anastomosis of obstructed left colon with intraoperative irrigation in comparison to multi-staged treatment

ABSTRACT

This study included 30 patients presented with obstructed left colon. The patients were divided into two groups Group A included 15 patients to whom multistaged procedure was done and group B included 15 patients were subjected to primary resection anastomosis with intraoperative irrigation. It was found that the total mortality was high in the first group [five patients] compared with the second group [three patients]. Apart from the occurrence of the fistula in four cases, the complications were less in group B. The psychic trauma of colostomy and colostomy complications [stenosis, prolapse, retraction and para colostomy hernia] were avoided in group B as well as the stay in hospital was short compared with group A