More than two hundred and seventy-five technical procedures1 have been devised to diminish the amount of contamination of the peritoneal cavity incidental to resection of portions of the large bowel. The fact that no method has yet proved entirely satisfactory has led to attempts to reduce the risk of infection by measures directed toward increasing the resistance of the patient. These attempts have consisted for the most part of more careful preoperative preparation of the patient, use of intraperitoneal injections designed to increase local immunity and more widespread use of multiple stage operations.
In general, the technical procedures for extirpation of a portion of the colon with subsequent reestablishment of intestinal continuity may be divided into two groups. In one group, the peritoneum and the bowel are opened at the same time, and the various technics are directed toward securing the least possible amount of soiling, either by appropriate
WOOD GO. RESECTION OF THE COLON BY INTUSSUSCEPTIONA ONE STAGE INTERIORIZATION PROCEDURE RESULTING IN AN END TO END ANASTOMOSIS. Arch Surg. 1941;42(3):508-521. doi:10.1001/archsurg.1941.01210090057004