Laparoscopic treatment of diffuse peritonitis for ileocolic anastomotic leak following totally laparoscopic right hemicolectomy

We report a case series of diffuse peritonitis caused by ile‐ocolic anastomotic failure after totally laparoscopic right hemicolectomy that were successfully managed by laparoscopic re‐interventions. In all the cases the anast omosis was resected and extracted, then peritoneal lavage with saline solution was performed and terminal ileostomy was fashioned in the right iliac fossa. Peritoneal lavage was repeated every 24 hours until the peritonitis was completely resolved. All the patients were successfully discharged aft er a median hospital stay of 13 days. Laparoscopic surgery for the treatment of anastomotic leak after right hemicolectomy was feasible and effective in our series of patients.
Source: Surgical Practice - Category: Surgery Authors: Tags: CASE REPORT Source Type: research