Table 5.
Anastomotic leakage reoperations: indications, intraoperative assessment, type of operation
|
Primary surgery |
Anastomosis (type) |
No. |
Indication |
No. |
Intraoperative findings |
Reoperation |
|
- Left colectomy - Subtotal colectomy - Dixon procedure - Right extended colectomy - Hartmann procedure reversal |
Colo-colic Ileocolic
Colorectal Ileotransverse
colorectal |
1 1
1 1
1 |
Unfavorable outcome Increase in flow
Localized peritonitis Deep wound infection |
2 1
1 1 |
Peritoneal abscesses: mesogastric -1; right subphrenic-1; pelvic-1; left parietocolic- 1. |
Evacuation of the peritoneal abscess, drainage |
|
-Sigmoidectomy - left colectomy - Dixon procedure - Extended right colectomy - Total colectomy |
Colorectal Colo-colic Colorectal
Ileosigmoid ileorectal |
1 1 4
1 1 |
Diffuse peritonitis Increse in AL flow Unfavorable outcome |
2 1 5 |
Total (2) or partial (7) anastomotic dehiscence Ileum fistula |
- Take-down anastomosis and colostomy (5); - Take down anastomosis and ileostomy (1); - enteroenterostomy (1); Ileosigmoidostomy (1). |