Does the avoidance of nasogastric decompression following elective abdominal colorectal surgery affect the incidence of incisional hernia?Results of a prospective, randomized trial
作者:
Daniel Otchy,
Bruce Wolff,
Jonathan van Heerden,
Duane Ilstrup,
Amy Weaver,
Lorraine Winter,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1995)
卷期:
Volume 38,
issue 6
页码: 604-608
ISSN:0012-3706
年代: 1995
出版商: OVID
关键词: Nasogastric tube;Incisional hernia;Colorectal surgery
数据来源: OVID
摘要:
PURPOSE:In a previous, prospective, randomized study of the use of nasogastric tubes in patients undergoing elective abdominal colorectal surgery, we found that patients who did not have nasogastric (NG) decompression postoperatively had a significantly higher rate of abdominal distention, nausea, and vomiting. Patients from that study have now been followed for a median duration of 5.3 years to evaluate whether this elevation in perioperative intra‐abdominal pressure would subsequently lead to an increased incidence of incisional hernia.RESULTS:Of the 251 patients who received NG decompression, 8 (3.2 percent) developed incisional hernias compared with 15 (6.6 percent) of 229 patients who were not decompressed(P=0.085).CONCLUSIONS:The increase in postoperative abdominal distention and vomiting that occurs in patients who do not receive NG decompression does not lead to a significantly increased incidence of incisional hernia. Furthermore, we continue to support avoidance of routine prophylactic post‐operative nasogastric decompression in uncomplicated, elective abdominal colorectal surgery.
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