Surgery for complicated colonic diverticulitis. Our experience

During the last two decades were observed 422 symptomatic patients with various degree of diverticular disease of the colon. 51 patients underwent surgery: 29 for stenosis (24) or occlusion (5), 4 for fistulas, 18 for perforation. The operations (26 emergencies, 25 elective) included: 21 cases of on...

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Bibliographic Details
Published in:Il Giornale di chirurgia 2005-04, Vol.26 (4), p.143-152
Main Authors: Fornaro, R, Canaletti, M, Terrizzi, A, Davini, M D, Sticchi, C, Stabilini, C, Moraglia, E, Picori, E, Larghero, G C, Giannetta, E
Format: Article
Language:Italian
Subjects:
Adult
Aged
Aged, 80 and over
Diverticulitis, Colonic - complications
Diverticulitis, Colonic - diagnosis
Diverticulitis, Colonic - surgery
Female
Humans
Male
Middle Aged
Retrospective Studies
Survival Analysis
Treatment Outcome
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Summary:During the last two decades were observed 422 symptomatic patients with various degree of diverticular disease of the colon. 51 patients underwent surgery: 29 for stenosis (24) or occlusion (5), 4 for fistulas, 18 for perforation. The operations (26 emergencies, 25 elective) included: 21 cases of one-stage resection and anastomosis without protective colostomy, 16 with colostomy, 8 Hartmann's procedures, 7 Mikulicz's operations, 1 suturing of the diverticulum with colostomy. The incidence of complications was 17.6% (9 cases, 7 following emergency surgery and 2 after elective procedures). The intraoperative mortality was zero, while postoperative 5.8% (3 cases, 2 after emergency procedures and 1 following elective surgery). The best results (lowest morbidity and mortality rates) occurred with the radical procedures, especially the resection-anastomosis with or without colostomy, which allowed the removal of the septic focus from the peritoneal cavity and thus a shorter recovery in a high number of cases.
ISSN:0391-9005