Intraoperative colonic irrigation with povidone iodine. An effective method of wound sepsis prevention.

In the ten-year period between 1975 and 1986, 367 patients underwent colonic resection with subsequent anastomosis using intraoperative colonic irrigation with 10 percent povidone iodine. One hundred thirty three patients underwent resection of the right or transverse colon, whereas 233 patients had left hemicolectomy with low anterior anastomosis or reanatomosis. Twenty individuals underwent emergency resection for perforation and temporary end colostomy.

Ileovesical fistula: a rare complication of ileal diverticulitis.

Small bowel diverticulitis is an unusual condition but the development of a secondary enterovesical fistula is extremely rare. This report describes the second documented case of ileovesical fistula secondary to ileal diverticulitis. Definitive diagnosis was made by double-contrast enema and small bowel fluoroscopic examinations.

Gastrocolic fistula in Crohn's disease.

The surgeon managing a patient with Crohn's disease should be aware of the possibility of a gastrocolic fistula being present. Readily available roentgenographic contrast studies, coupled with endoscopy, will undoubtedly provide all the necessary information with which to undertake a safe one stage en bloc resection of the diseased segments.