Research Article
Volume 9 Issue 7 - 2022
Use of Ostomy with Orotracheal Tube: During Damage Control in Emergency Surgery
Hugo Fernando Valeguzki Lenzi1*, André Luiz Parizi Mello2 and Orli Franzon3
1Resident Student in the Medical Residency Course of Digestive Surgery, Hospital Dr. Homero de Miranda Gomes, São José/SC, Brazil 2Professor (Co-Advisor) of the Medical Residency of Digestive Surgery, Hospital Dr. Homero de Miranda Gomes, São José/SC, Brazil 3Professor (Advisor) of the Medical Residency of Digestive Surgery, Hospital Dr. Homero de Miranda Gomes, São José/SC, Brazil
*Corresponding Author: Hugo Fernando Valeguzki Lenzi, Resident Student in the Medical Residency Course of Digestive Surgery at Hospital Dr. Homero de Miranda Gomes, São José/SC, Brazil.
Received: May 19, 2022;; Published: June 13, 2022




Abstract

The use of the orotracheal tube, either in damage control in order to decompress the proximal digestive tract and provide conditions for a delayed primary anastomosis, or as a “phantom ileostomy” in elective procedures, being a protective factor for colorectal anastomosis, serves to avoid a formal stoma, and consequently a second surgery. To propose the use of the orotracheal tube for damage control in the management of ostomies in emergency surgeries, for patients who undergo enterectomy (polytrauma and/or peritonitis). A prospective study, in which 11 patients were admitted and assisted in the Surgical Department of Hospital Regional Dr. Homero de Miranda Gomes, São José/SC - Brazil, from February 2016 to January 2022. The technique provides the act of delayed primary anastomosis, at a time when the patient has lower rates of systemic inflammation, and fit the best response of healing factors. The surgical management of decompressive enterostomy with orotracheal tube tends to evolve markedly as a new approach to damage control in the surgical abdomen with the presence of enterectomy, in septic patients and/or in hypovolemic shock.

Keywords: Anastomosis; Ostomy; Orotracheal Tube

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Citation: Hugo Fernando Valeguzki Lenzi., et al. “Use of Ostomy with Orotracheal Tube: During Damage Control in Emergency Surgery”. EC Gastroenterology and Digestive System 9.7 (2022): 01-10.

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