Surgical management of complicated diverticulitis. The Lahey Clinic experience, 1967 to 1982.
One hundred forty patients who had complicated diverticular disease were identified in a retrospective review at the Lahey Clinic between 1967 and 1982. Of these patients, 86 underwent resection with primary anastomosis with a 1 percent mortality rate and an 18 percent morbidity rate; 13 had resection with anastomosis and creation of a proximal colostomy with no death and a 22 percent morbidity rate; 19 had the Hartmann operation or colostomy with mucous fistula with a 16 percent mortality rate and a 23 percent morbidity rate; and 22 underwent a traditional three-stage operation with 14 percent mortality and 24 percent morbidity rates. The average duration of hospitalization was 21 days for patients who underwent the one-stage procedure, 31 and 39 days for those who had a two-stage operation, and 52 days for patients who underwent the three-stage procedure. Primary resection for complicated disease is associated with acceptable morbidity and mortality rates under appropriate circumstances.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003082:Colectomy / Q000379:methods / Q000401:mortality; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery; D003125:Colostomy / Q000401:mortality; D004239:Diverticulitis, Colonic / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D004322:Drainage; D005260:Female; D006760:Hospitalization; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011292:Premedication; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000209:etiology
D000900:Anti-Bacterial Agents