[Change in the surgical strategy in acute and complicated colonic diverticulitis].
The records of 312 patients with acute colonic diverticulitis were reviewed. 129 patients required an operation. The operative management is presented and compared to the international literature. One-stage resection was performed in 79% of all patients. In 84% of patients with a localized inflammation a one-stage resection was possible. Fifty-seven percent of patients with peritonitis due to colonic perforation required a multiple stage procedure. In 70% the preferred surgical procedure of multiple stage treatment was Hartmann's operation. These therapeutical regimens are current standard. Lethality was 1.6% for all 129 patients and the postoperative morbidity was 22%.
Buttenschön
K
K
Chirurgische Klinik I, Universität Ulm.
Büchler
M
M
Vasilescu
C
C
Beger
H G
HG
D000208:Acute Disease; D000368:Aged; D000714:Anastomosis, Surgical; D003108:Colonic Diseases / Q000601:surgery; D004239:Diverticulitis, Colonic / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000401:mortality / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D015996:Survival Rate