Imperial College London
Alternate

Professor Alun H Davies, MA,DM,DSc,FRCS,FHEA,FEBVS,FACPh

Faculty of Medicine, Department of Surgery & Cancer

Professor of Vascular Surgery
 
 
 
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Contact

 

+44 (0)20 3311 7309a.h.davies

 
 
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Location

 

4E04 EastEast WingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Ng:1992:10.1002/bjs.1800790737,
author = {Ng, RL and Davies, AH and Grace, RH and Mortensen, NJ},
doi = {10.1002/bjs.1800790737},
journal = {Br J Surg},
pages = {701--703},
title = {Subcutaneous rectal stump closure after emergency subtotal colectomy.},
url = {http://dx.doi.org/10.1002/bjs.1800790737},
volume = {79},
year = {1992}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Subtotal colectomy with preservation of the rectum is now the procedure of choice for patients with severe colitis requiring emergency surgery. The use of subcutaneous 'rectal closure' when the retained distal bowel is placed at the caudal end of the abdominal incision in the subcutaneous or fascial layer is studied. An anal catheter may be placed to drain the rectum. Thirty-two patients (14 men, 18 women) of mean age 33 (range 17-77) years with severe inflammatory bowel disease (29 ulcerative colitis, one Crohn's disease, one indeterminate colitis, one Campylobacter colitis) underwent emergency colectomy with subcutaneous rectal stump closure. Twenty-three stumps were closed with staples, four sutured and five by both staples and sutures. Complications developed in seven patients (22 per cent), of which two required surgical intervention. One significant wound infection was treated successfully with a course of antibiotics. Three minor wound infections did not require specific treatment. The rectal stump was always readily located at the time of restorative surgery. This technique is recommended as a simple and safe alternative to an open mucus fistula provided that surgeons adhere to standard surgical principles; in particular the distal bowel should not be brought out into the wound under tension.
AU  - Ng,RL
AU  - Davies,AH
AU  - Grace,RH
AU  - Mortensen,NJ
DO  - 10.1002/bjs.1800790737
EP  - 703
PY  - 1992///
SN  - 0007-1323
SP  - 701
TI  - Subcutaneous rectal stump closure after emergency subtotal colectomy.
T2  - Br J Surg
UR  - http://dx.doi.org/10.1002/bjs.1800790737
UR  - https://www.ncbi.nlm.nih.gov/pubmed/1643491
VL  - 79
ER  -
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