Outcome of Emergency Resection and Primary Anastomosis of Acute Large Gut Obstruction without On Table Colonic Lavage

Introduction cute large intestinal obstruction is one of the commonest cause of acute abdomen and abdominal emergencies that is encountered in surgical practice. Conventionally we prefer multistage defunctioning colostomy and resection. This conventional procedure is socially embarrassing, not comfortable for the patient, increase duration of hospital stay and working hour loss. This required a readmission for a second stage surgery to restore bowel continuity. On the other hand one stage resection and anastomosis have several advantages including avoiding colostomy, reduces the number of procedures, shortens the duration of hospital and reduction in hospital costs, elimination of the waiting period because of a second operation and offering a better quality of the remaining life for patients with incurable malignancies. Much consideration is required prior to creating a stoma. The endemic poverty and lack of specialist nursing staff, makes successful stoma management unlikely. A study carried out by Uba, Chirdan, Olori, Jhezue in Jos university Teaching Hospital, Nigeria (Oct.2000May2006) has shown that there has been a trend towards one stage primary resection and anastomosis lately. Virtually all colorectal surgeons 1. * Dr. Mohammad Monjur Morshed Hossain, Junior Consultant (Surgery), Upazila Health Complex, Chirirbandar, Dinajpur. [email protected] 2. Dr. Md. Shafiqul Islam, Registrar, Ortho-Surgery, M Abdur Rahim Medical College Hospital, Dinajpur. 3. Dr. AFM Nurullah, Associate Professor of Radiology and Imaging, Dinajpur Medical College. 4. Dr. Shibesh Sarker, Associate Professor of Radiology and Imaging, M Abdur Rahim Medical College, Dinajpur. 5. Dr. BMA Tarik, Emergency Medical Officer, Rangpur Medical College Hospital. 6. Dr. Abu Bakar Siddique, Resident Surgeon (Urology), Sheikh Abu Naser, Specialized Hospital, Khulna.