caa a22 4500 475803205 CHVBK 20180406123743.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s002680010162 doi (NATIONALLICENCE)springer-10.1007/s002680010162 Reconstructive Intestinal Surgery after Open Management of Severe Intraabdominal Infection [Elektronische Daten] [Stephan Kriwanek, Michael Gschwantler, Philipp Beckerhinn, Christian Armbruster, Rudolf Roka] Open management (OM) of severe intraabdominal infection often is complicated by fistula formation and the need for complex reconstructive procedures. From 1988 to 1998 a series of 145 patients were treated by OM. Of these patients, 24 developed intestinal fistulas and 42 had to be treated by discontinuity resections prior to OM for intestinal perforations or anastomotic insufficiency. Of the patients with fistulas or enterostomies, 61% survived. Reconstructive surgery was performed after infections had completely subsided. Patients were examined on follow-up, and the quality of life was assessed by 36-item short-form health survey questionnaires. Restorative surgery was performed in 32 of 40 patients 102 days (median) after beginning OM. All patients survived. Anastomotic leakage developed in six patients (18%). Thirty patients (94%) were followed up; 70% indicated their quality of life to be good. Despite a higher rate of anastomotic problems than with elective visceral operations, reconstructive intestinal surgery after OM may be performed without mortality and satisfying long-term outcome. Société Internationale de Chirurgie, 2000 Kriwanek Stephan Department of Surgery, Rudolfstiftung Hospital, Juchgasse 25, A-1030 Vienna, Austria, AT aut Gschwantler Michael Department of Gastroenterology, Rudolfstiftung Hospital, Juchgasse 25, A-1030 Vienna, Austria, AT aut Beckerhinn Philipp Department of Surgery, Rudolfstiftung Hospital, Juchgasse 25, A-1030 Vienna, Austria, AT aut Armbruster Christian Department of Surgery, Rudolfstiftung Hospital, Juchgasse 25, A-1030 Vienna, Austria, AT aut Roka Rudolf Department of Surgery, Rudolfstiftung Hospital, Juchgasse 25, A-1030 Vienna, Austria, AT aut World Journal of Surgery Springer-Verlag 24/8(2000-08-01), 999-1003 0364-2313 24:8<999 2000 24 268 https://doi.org/10.1007/s002680010162 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002680010162 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kriwanek Stephan Department of Surgery, Rudolfstiftung Hospital, Juchgasse 25, A-1030 Vienna, Austria, AT aut NATIONALLICENCE 700 1- Gschwantler Michael Department of Gastroenterology, Rudolfstiftung Hospital, Juchgasse 25, A-1030 Vienna, Austria, AT aut NATIONALLICENCE 700 1- Beckerhinn Philipp Department of Surgery, Rudolfstiftung Hospital, Juchgasse 25, A-1030 Vienna, Austria, AT aut NATIONALLICENCE 700 1- Armbruster Christian Department of Surgery, Rudolfstiftung Hospital, Juchgasse 25, A-1030 Vienna, Austria, AT aut NATIONALLICENCE 700 1- Roka Rudolf Department of Surgery, Rudolfstiftung Hospital, Juchgasse 25, A-1030 Vienna, Austria, AT aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/8(2000-08-01), 999-1003 0364-2313 24:8<999 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer