Skip to main content
Log in

Intraoperative colonic lavage in infants using a Replogle tube

  • Technical Innovation
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Dudley HAF, Radcliffe AG, McGeehan D (1980) Intraoperative irrigation of the colon to permit primary anastomosis. Br J Surg 67:80-81

    CAS  PubMed  Google Scholar 

  2. Khaira HS, Jewkes A (1999) Rapid on-table colonic lavage with minimal mess. Ann R Coll Surg Engl 81:399–400

    CAS  PubMed  Google Scholar 

  3. Simpson AHRW, Thomson WHF (1987) Technical modifications making on-table washout easier. Br J Surg 74:464

    CAS  Google Scholar 

  4. Thomson WHF, Carter SS (1986) On-table lavage to achieve safe restorative rectal and emergency left colonic resection without covering colostomy. Br J Surg 73:61–63

    CAS  PubMed  Google Scholar 

  5. Ognibene SJ, Koniaris L G, Pegoli W, et al. (2002) Intraoperative colonic lavage in a premature infant: a case report. J Pediatr Surg 37:1645–1647

    Article  PubMed  Google Scholar 

  6. Replogle RL (1963) Esophageal atresia: plastic sump catheter for drainage of the proximal pouch. Surgery 54:296–297

    CAS  PubMed  Google Scholar 

  7. Simpson AHRW, Thomson WHF (1987) Technical modification making on-table washout easier. Br J Surg 74:464

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sean S. Marven.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vincent, M.V., Marven, S.S. Intraoperative colonic lavage in infants using a Replogle tube. Ped Surgery Int 20, 562–563 (2004). https://doi.org/10.1007/s00383-004-1215-6

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-004-1215-6

Keywords

Navigation