title: Surgical management of acute diverticulitis in women.
abstract: The incidence of diverticular disease of the colon has increased during the course of this century. The management of diverticulitis has changed in many centers from a conservative medical approach to a more aggressive surgical one. The surgical technique has also evolved; primary resection and anastomosis is currently preferred after a standard bowel preparation. The authors reviewed the medical histories of 387 women who had undergone abdominal operation for acute diverticulitis at the Mayo Clinic during a recent 8-year period. Of the 387 patients, 71 (18.3%) had presented with a pelvic mass and 84 (21.7%) had the operation performed by a gynecologic surgeon. The preoperative evaluation, type of operation, morbidity, and mortality in the entire group and in the group managed by a gynecologic surgeon were studied and compared.
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D004239:Diverticulitis, Colonic / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis; D006801:Humans; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D012189:Retrospective Studies