Intraoperative colonic lavage in infants using a Replogle tube

Pediatr Surg Int. 2004 Jul;20(7):562-3. doi: 10.1007/s00383-004-1215-6. Epub 2004 Jul 9.

Abstract

On-table colonic lavage for preparing obstructed bowel prior to anastomosis or stoma formation is now routine in adults, but it is seldom used in paediatric practice. We describe a simple technique for intraoperative colonic lavage using inexpensive medical devices that are also readily available and disposable, a Replogle tube, a fine-bore sucker, and a 20-ml syringe. We have used this technique in infants with intestinal obstruction due to anorectal malformations, intestinal atresias, and post-NEC strictures, to good effect.

MeSH terms

  • Anus, Imperforate / surgery
  • Colon / surgery*
  • Disposable Equipment
  • Humans
  • Infant
  • Intestinal Obstruction / surgery
  • Intraoperative Care*
  • Intubation / instrumentation*
  • Suction / instrumentation
  • Syringes
  • Therapeutic Irrigation / instrumentation