Intussusception resection and anastomosis

This operation is mainly for the intussusception after resetting, it is determined that the intestine has been necrotic, or the intussusception has been necrotic, difficult to reset. Or adult intussusception has a long course of disease, the sheath is tightly adhered, difficult to separate and reset. Secondary intestinal necrosis The complications of this system after intussusception are often inaccurate due to the inability to determine the ability of the intestine to live. The necrotic intestine is not completely removed, and secondary intestinal necrosis occurs after surgery. Especially when the vein has been embolized, and some of the arteries recover the pulsating intestine after the hot compress, the observation time is short and put back into the abdominal cavity, which is prone to secondary intestinal necrosis. In another case, most of the intestinal blood vessels were normal after the reduction, and only 1 to 2 small localized intestinal necrosis were observed, and the necrotic perforation was secondary because the judgment was insufficient. Treatment of diseases: pediatric intussusception rectal intussusception Indication 1. After the intussusception is reset, it is determined that the intestine is already necrotic. 2. The set of intestines has been necrotic and difficult to reset. 3. Adult intussusception has a long course of disease, and the sheath is tightly adhered, which is difficult to separate and reset. 4. Secondary intestinal necrosis The complications of this system after intussusception are often inaccurate due to the inability to determine the ability of the intestine to live. The necrotic intestine is not completely removed, and secondary intestinal necrosis occurs after surgery. Especially when the vein has been embolized, and some of the arteries recover the pulsating intestine after the hot compress, the observation time is short and put back into the abdominal cavity, which is prone to secondary intestinal necrosis. In another case, most of the intestinal blood vessels were normal after the reduction, and only 1 to 2 small localized intestinal necrosis were observed, and the necrotic perforation was secondary because the judgment was insufficient. Preoperative preparation Gastrointestinal decompression, appropriate correction of water and electrolyte disorders, and acid-base balance disorders. Surgical procedure If the surgery is secondary to necrosis, it can enter the abdominal cavity from the original incision. If intestinal necrosis is found during intussusception, it will be treated according to different conditions. 1. After the intussusception is reset, it is found that the intestine has been necrotic, and after the necrotic boundary is determined, the necrotic intestine is removed, and the small intestine-small intestine or small intestine-colon end-to-end anastomosis is performed (see small bowel resection and anastomosis for operation). 2. After the intussusception is reset, it is found that only 1 to 2 localized intestinal necrosis can be buried in the sarcoplasmic muscle layer. However, it should be avoided that the intestinal stenosis is caused by excessive embedding. 3. If the intestine is necrosis, or the intestine sheath is tightly adhered and difficult to reset, the intestine can be removed together with the sheath and then end-to-end anastomosis. 4. The condition is critical, and the excision is not allowed. It can be used for external operation of the intestine, or the necrotic intestine is removed for double-chamber ostomy, but the digestive juice is lost after ostomy, and it is difficult to maintain the balance of water and electrolyte. Therefore, it should be used as little as possible when it is not necessary.