The Focus of Study is to Elucidate Which Are the Factors Requiring the Duodenostomy and Which Postoperative Course is for These Patients
Conditions
Keywords
Duodenostomy, duodenal perforation, emergency surgery
Brief summary
In this study the investigators focused on duodenal perforations, requiring a tube duodenostomy and have analyzed the main features, that have influenced the surgical choices. Five patients were enrolled. Most of duodenal perforations can successfully be managed by simple repair, while complicated procedures are needed for complex injuries. Tube duodenostomy is a damage control procedure, for large duodenal perforations when further repair techniques are not recommended due to the duodenal damage, hemodynamic instability of the patient or the absence of surgical expertise for complex reconstruction.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* excessive size of perforation * extreme presence of intra-abdominal infections.
Exclusion criteria
* patients treated by medical therapy, endoscopic techniques, o surgical approaches
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Death of patient | 4 months |
Countries
Italy