Can right hemicolectomy treat intestinal fistula

summary

Intestinal fistula is a serious complication after surgery. Usually, patients with intestinal fistula can be caused by surgery, trauma, and infection. Now let's talk about whether right hemicolectomy can treat intestinal fistula.

Can right hemicolectomy treat intestinal fistula

First: cancer of the cecum, ascending colon or hepatic flexure. Ileocecal tuberculosis, causing obstruction. Ileocecal intussusception, cecal volvulus, intestinal damage has been dead. Ileocecal chronic inflammation granuloma, trauma, complex fecal fistula, chronic localized enteritis, etc. Severe injury of ascending colon or ileocecal region can not be repaired.

Second, when the right mesocolon is separated and the posterior abdominal wall is exposed, attention should be paid not to damage the duodenum, right kidney, spermatic vessels (male) and ureter. If the anastomotic stoma is not contaminated, it is better to avoid anastomotic stoma peritonitis.

Third: intravenous infusion, blood transfusion when necessary. Gastrointestinal decompression was continued for 1-2 days. Anal exhaust 1-2 days, if no abdominal distension can be removed. Active control of infection, application of broad-spectrum antibiotics. Fluid diet was started 3-4 days after operation, and the diet was gradually increased according to the improvement of the disease. Enema was not allowed within 1 week after operation. If it is colon cancer, anti-cancer drugs can be used after operation; if it is intestinal tuberculosis, anti tuberculosis drugs can be used after operation.

matters needing attention

When intestinal fistula occurs, it will be accompanied by intestinal contents and outflow of intestinal cavity, which is easy to cause a series of adverse symptoms such as infection and malnutrition. It brings strong discomfort to patients, so patients need timely treatment.