[Surgery for complicated colonic diverticulitis. Our experience].

Abstract

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.

• Authors: R Fornaro, M Canaletti, A Terrizzi, M D Davini, C Sticchi, C Stabilini, E Moraglia, E Picori, G C Larghero, E Giannetta
• Journal: Il Giornale di chirurgia (G Chir) Vol. 26 Issue 4 Pg. 143-52 (Apr 2005) ISSN: 0391-9005 [Print] Italy
• Vernacular Title: Risultati del trattamento chirurgico nelle complicanze della diverticolite del colon. Esperienza dell'ultimo ventennio.
• PMID: 16035250 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Diverticulitis, Colonic (complications, diagnosis, surgery)
• Female
• Humans
• Male
• Middle Aged
• Retrospective Studies
• Survival Analysis
• Treatment Outcome