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Gastrointestinal tract perforation operation mode


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Gastrointestinal perforation includes gastric perforation and intestinal perforation. The surgical methods of gastric perforation include subtotal gastrectomy, perforation suture, partial gastrectomy, etc. The surgical methods of intestinal perforation include perforation repair, intestinal segmentectomy, distal intestinal closure and proximal ostomy. 1. Surgical methods for gastric perforation 1. Subtotal gastrectomy Patients with gastric perforation onset within 6 - 8 hours can be treated by this method, which can improve both ulcer and perforation. 2. Perforation suture This type of surgery has relatively low risk and is suitable for patients with traumatic gastric perforation and patients with long perforation time, severe abdominal inflammation and combined with important organ diseases. 3. Partial gastrectomy Multiple gastric perforations caused by partial trauma can be treated by partial gastrectomy. 2. Surgical methods for intestinal perforations 1. Perforation repair This surgical method is suitable for small, scattered perforations that do not affect the blood supply of the intestinal wall and small perforations of the cecum and ascending colon. 2. Intestinal segmentectomy Patients with large perforation, severe tissue contusion at the edge of the rupture, intestinal rupture, intestinal wall hematoma, and intestinal wall blood circulation restriction can be treated by intestinal segmentectomy. 3. Distal intestinal closure and proximal ostomy Patients with severe abdominal infection, intestinal obstruction, tumor rupture and perforation can be treated by this type of surgery.