[Surgical therapy of complicated sigmoid diverticulitis: single stage or multi-stage operation?].

Abstract:

:Surgical tactics for the teatment of complicated diverticulitis are in constant evolution and remain a subject of controversy. Amongst 53 patients operated on for complicated sigmoid diverticulits over a 10 year period in our hospital, 29 underwent a Hartmann's procedure (3 Hinchey's stage II, 19 stage III and 7 stage IV). Only 11 out of 20 having survived the operation underwent restoration of bowel continuity (55%). This experience is in line with the literature. Surgeons have become conscious that in reality the colostomy was permanent in a significant proportion of patients who were poor candidates for a second operation. Therefore there is a tendency to perform as far as possible a resection of the sigmoid and a colo-rectal anastomosis in a one-stage procedure. In the absence of prospective randomized studies and objective criteria, the decision to resect the sigmoid in a one-stage or in a multi-stage procedure is based on consensus and clinical judgement.

journal_name

Zentralbl Chir

authors

Gertsch P,al-Muaid J,Pelloni A,Bogen M

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

1386-9

issue

12

eissn

0044-409X

issn

1438-9592

journal_volume

123

pub_type

杂志文章,评审
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