Postoperative complication _'s treatment of cancer of colon

Postoperative complication _'s treatment of cancer of colon
1 . The identical mouth leaks
It is a serious complication which forms rectum operation that the identical mouth leaks, the incidence of half a colons and the first stage of operations of rectum of left is relatively high. The incidence of operating the identical mouth and leaking in traditional tactics is 5% one 10%. The incidence that the identical mouth leaks drop to some extent after using the identical device technology, about 2. 5% one 6. 6% . Analyze the reason as follows:
(1)Preparation is insufficient before the skill. The domestic literature reports the operation complication incidence of cancer of colon is up to 74, 1% under the emergency call situation.
(2)The patient is malnutritive. Mostly middle-aged and elderly people when rectal cancer forms by patienting,and in meet case more later period.
(3)Operate the fault in operation. The good blood is transported to guarantee the important factor that the identical mouth heals normally, too many free intestines give up the mesenterium of end or excise the adipose tissue around the identical mouth of colon too much in the skill, damage and form the mesenterium blood vessel, make identical mouthfuls of blood transported badly, identical mouthfuls of tension are too big, healing that can influence the identical mouth of sewing up tightly enough etc..
For the emergence that prevented the identical mouth from leaking, should accomplish the following three points:
(1)Grasp the indication of forming the first stage of operation of rectum, especially the case of the acute intestinal obstruction strictly;
(2)Operate the far, tension of blood of the attention identical mouth in operation. Cleaning and identical mouth of the skill midgut are according with the sky, mouth, lower poker one;
(3)Identical mouth leak, diagnose, should walk actively intestines build the intersection of Lou and skill or the intersection of Hartmann and skill, offer guide, surgical nutrition and resisting infection to treat effectively at the same time.
2 . Bleed before the sacral bone
It is a serious complication of rectum operation to bleed before the sacral bone, it is often mortality. Intravenous clump before damaging the sacral bone when the main reason is the wall behind separating the rectum. Because intravenous clump take the form of network in front of the sacral bone, affix to sacrum, and vertebra in the aperture intravenous to have traffic with sacrum, once bleed some contract into the aperture of sacrum, it is very difficult to arrest blood. The emergence bleeding in order to prevent the sacral bone, the wall should pay attention to entering the correct interval behind the free rectum. Can use the steel nail to nail into the law while dealing with the method to bleed. If is really difficult to arrest blood, can clog oppression styptically with the roll of the gauze, the result is satisfied. Must guard against sewing and pitching blindly.
3 . Other complications
In marrying the the intersection of rectum and surgery complication, there is the ureter that damages, makes hernia,etc. in a mouthful of necrosis and belly. There are direct relations with operation operation in these complication. The operation method of large intestine cancer is riper, and there are its important steps in every operation. So long as catch these main points, mostly perform the operation complication can be avoided.
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