Externalization and resection in colon tumors

Authors

  • Bárbaro Agustín Armas Pérez Universidad de Ciencias Médicas "Carlos J. Finlay" de Camagüey. Cuba
  • Joaquín Márquez Hernández
  • Alejandro Barrabí Díaz
  • Gerardo Martínez Ferrá

Abstract

Background: an approach to the surgical procedure of the obstructive resection and externali-zation in colon tumors, which were very common in times when the antisepsis and antibiotics did not exist. Nowadays they are infrequent; especially since the rise of primary suture in colon even the left si-de.
Objective: to expose the concept of intestinal externalization and its procedures. And the surgeon must keep them in mind for a possible unexpected indication is exposed. The concept of exter-nalizing exposed.
Methods: a search in databases SciELO and Medscape and also in books and journals related to the diverse technical procedures of obstructive resection and externalization in colon was conducted.
Development: according to the chronological order of presence, the technical steps common to all these procedures of are shown, except in the Hartmann, in which they conclude with a gun barrel colostomy. It is particularized in the various procedures from the original supposed of Von Mickulicz, to the above and other variants.
Conclusions: the various procedures are displayed in time, beginning with those of Von Micku-licz, Paul and Von Volkmann that were the first ones and the similarities and differences among all of them. At the end because it is incorrect, it is recommended not to use the term Rankin-Von Mickulicz, as a procedure of resection and externalization since they are two interventions with particularities and dif-ferences regarding to the technique.
DeCS:COLON/surgery; SURGICAL PROCEDURES, OPERATIVE; INTESTINAL VOLVULUS; INTESTINAL OBSTRUCTION; REVIEW LITERATURE AS TOPIC.

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Published

2016-12-08

How to Cite

1.
Armas Pérez BA, Márquez Hernández J, Barrabí Díaz A, Martínez Ferrá G. Externalization and resection in colon tumors. Arch méd Camagüey [Internet]. 2016 Dec. 8 [cited 2025 Aug. 23];20(6):754-60. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/4604

Issue

Vol. 20 No. 6 (2016)

Section

Review Articles

License

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