External abdominal intestinal anastomosis: a damage control procedure. Milestone in the field of intestinal anastomosis

      Аннотация: There is a saying in common surgical practice, “A skilled surgeon can be judged by his anastomosis”. Most often in many clinical scenarios, surgeons face tremendous challenge to make decision in case of high risk anastomosis. Our experience in Khulna Medical College Hospital (KMCH), Bangladesh suggests that the outcome in most of such patients is usually catastrophic. We were looking for years for a problem solving tool in such circumstances. External abdominal intestinal anastomosis (EAIA) is a good solution to this problem. In this research, a new modality of intestinal anastomosis is going to be presented with clinical and statistical analysis. The surgical technique, indication, contraindication, pattern and other clinical & surgical aspects of the EAIA have been described in this paper. A case series of 17 patients of high risk intestinal anastomosis with this new technique is represented here. Statistical analysis suggests that this is a problem solving tool and a damage control procedure in many critical surgical circumstances.

Ключевые слова: External abdominal intestinal anastomosis, intestinal anastomosis, damage control procedure, damage control intestinal anastomosis, damage control anastomosi, Faruquzzaman, External abdominal intestinal anastomosis: a damage control procedure, Milestone in the field of intestinal anastomosis, Khulna medical college hospital, KMCH, Bangladesh, EAIA, problem solving tool, high risk anastomosis, high risk patient, septic abdomen, septicaemia, Sepsis, SIRS, MODS, MSOF, anastomosis leakage, mortality, Morbidity, complications, outcomes, gangrenous intestine, mesenteric vascular occlusion, case series, Direct visual monitoring of the anastomotic site, DVMA, Alternative transparent adhesive dressing, entero-cutaneous fistula, Algorithm of EAIA, traumatic intestinal injury, strangulated incisional hernia, intestinal tuberculosis, typhoid ulcer perforation, bowel resection, mortalitymorbidity, hospital staying, patient's compliance, cost effectiveness, Restoration, anastomotic healing, Risk factors, anastomosis failure, Crohn’s Disease, emergency surgery, operational definition, Aseptic apparatus, jejuno jejunal anastomosis, jejuno ileal anastomosis, ileal anastomosis, Infected gossypiboma, Gangrenous jejuno-ileum, postoperative events, CONVERSION, ileal tuberculosis, stricture ileum, damage control surgery