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Pediatric Surgery International
Published in: Pediatric Surgery International 7/2004

01-07-2004 | Technical Innovation

Intraoperative colonic lavage in infants using a Replogle tube

Authors: Michelle V. Vincent, Sean S. Marven

Published in: Pediatric Surgery International | Issue 7/2004

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Abstract

On-table colonic lavage for preparing obstructed bowel prior to anastomosis or stoma formation is now routine in adults, but it is seldom used in paediatric practice. We describe a simple technique for intraoperative colonic lavage using inexpensive medical devices that are also readily available and disposable, a Replogle tube, a fine-bore sucker, and a 20-ml syringe. We have used this technique in infants with intestinal obstruction due to anorectal malformations, intestinal atresias, and post-NEC strictures, to good effect.
Literature
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Dudley HAF, Radcliffe AG, McGeehan D (1980) Intraoperative irrigation of the colon to permit primary anastomosis. Br J Surg 67:80-81PubMed
2.
Khaira HS, Jewkes A (1999) Rapid on-table colonic lavage with minimal mess. Ann R Coll Surg Engl 81:399–400PubMed
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Simpson AHRW, Thomson WHF (1987) Technical modifications making on-table washout easier. Br J Surg 74:464
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Thomson WHF, Carter SS (1986) On-table lavage to achieve safe restorative rectal and emergency left colonic resection without covering colostomy. Br J Surg 73:61–63PubMed
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Ognibene SJ, Koniaris L G, Pegoli W, et al. (2002) Intraoperative colonic lavage in a premature infant: a case report. J Pediatr Surg 37:1645–1647CrossRefPubMed
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Replogle RL (1963) Esophageal atresia: plastic sump catheter for drainage of the proximal pouch. Surgery 54:296–297PubMed
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Simpson AHRW, Thomson WHF (1987) Technical modification making on-table washout easier. Br J Surg 74:464
Metadata
Title
Intraoperative colonic lavage in infants using a Replogle tube
Authors
Michelle V. Vincent
Sean S. Marven
Publication date
01-07-2004
Publisher
Springer-Verlag
Published in
Pediatric Surgery International / Issue 7/2004
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-004-1215-6

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