Abstract
A new intraoperative method, employing a specially designed apparatus, is described by which the colon can be cleansed to a degree not obtainable by other methods. The method enables continuous antegrade irrigation with large volumes of irrigant at high rates of flow, prior to enterotomy. It has been tested in an experimental canine model and found to be safe and effective.
Similar content being viewed by others
References
Rosenberg IL, Graham NG, DeDombal FT, Goligher JC. Preparation of the intestine in patients undergoing major large-bowel surgery, mainly for neoplasms of the colon and rectum. Br J Surg 1971;58:266–9.
Irvin TT, Goligher JC. Aetiology of disruption of intestinal anastomoses. Br J Surg 1973;60:461–4.
Smith SR, Connolly JC, Gilmore OJ. The effect of faecal loading on colonic anastomotic healing. Br J Surg 1983;70:49–50.
Bartlett JG, Condon RE, Gorbach SL, Clarke JS, Nichols RL, Ochi S. Veterans Administration cooperative study on bowel preparation for elective colorectal operations: impact of oral antibiotic regimen on colonic flora, wound irrigation cultures and bacteriology of septic complications. Ann Surg 1978;188:249–54.
Figueras-Felip J, Basilio-Bonet E, Lara-Eisman F, et al. Oral is superior to systemic antibiotic prophylaxis in operations upon the colon and rectum. Surg Gynecol Obstet 1984;158:359–62.
Fleites RL, Marshall JB, Eckhauser ML, Mansour EG, McCullough AJ. The efficacy and safety of Golytely as a single day surgical bowel preparation for colonic resection (abstr). Gastroenterology 1984;86:1174.
Fork F-T, Ekberg O, Nilsson G, Rerup C, Skinhoj A. Colon cleansing regimens: a clinical study in 1200 patients. Gastrointest Radiol 1982;7:383–9.
Hewitt J, Reeve J, Rigby J, Cox AG. Whole-gut irrigation in preparation for large-bowel surgery. Lancet 1973;2:7825–8.
Minervini S, Alexander-Williams J, Donovan IA, Bentley S, Keighley MR. Comparison of three methods of whole bowel irrigation. Am J Surg 1980;140:400–2.
Davis GR, Santa Ana CA, Morawski SG, Fordtran JS. Development of a lavage solution associated with minimal water and electrolyte absorption or secretion. Gastroenterology 1980;78:991–5.
Raahave D, Hansen OH, Carstensen HE, Friis-Moller A. Septic wound complications after whole bowel irrigation before colorectal operations. Acta Chir Scand 1981;147:215–8.
Crapp AR, Tillotson P, Powis SJ, Cooke WT, Alexander-Williams J. Preparation of the bowel by whole-gut irrigation. Lancet 1975;3:1239–40.
Downing R, Dorricott NJ, Keighley MR, Oates GD, Alexander-Williams J. Whole gut irrigation: a survey of patient opinion. Br J Surg 1979;66:201–2.
Poth EJ. Intestinal antisepsis. Am J Surg 1954;88:803–6.
Jones FE, DeCosse JJ, Condon RE. Evaluation of “instant” preparation of the colon with povidone-iodine. Ann Surg 1976;184:74–9.
Arango A, Lester JL, Martinez OV, Malinin TI, Zeppa R. Bacteriologic and systemic effects of intraoperative segmental bowel preparation with povidone-iodine. Arch Surg 1979;114:154–7.
Muir EG. Safety in colonic resection. Proc R Soc Med 1968;61:401–8.
Dudley HA, Radcliffe AG, McGeehan D. Intraoperative irrigation of the colon to permit primary anastomosis. Br J Surg 1980;67:80–1.
Alexander HC. Colonic decompression and lavage in anterior resection of the rectosigmoid. Surg Gynecol Obstet 1972;135:284.
Thow GB. Intraoperative Chaffin sump recto-colonic irrigation. Dis Colon Rectum 1976;19:330–3.
Gliedman ML, Grant RN, Vestal BL, Karlson KE. Impromptu bowel cleansing and sterilization. Surgery 1958;43:282–7.
Author information
Authors and Affiliations
About this article
Cite this article
Leiboff, A.R., Crowley, M., Spano, L. et al. Intraoperative high-flow antegrade irrigation. Dis Colon Rectum 28, 323–332 (1985). https://doi.org/10.1007/BF02560433
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02560433