[Complications of colonic diverticulosis and emergency surgery. Prospective study of 56 cases].
Fifty six patients, 26 men (69.7 +/- 11.2 years) and 30 women (77.4 +/- 9.2 years) were admitted in the emergency unit for diverticulosis sigmoiditis. In 75% of cases an other pathology was associated. Excepted 11 extended peritonisis, 7 criterae of operation were required to operate on 17 men and 18 women (mean age = 73.7 +/- 12.5 years) in a delay less than 8 days. Reasons were: 12 occlusive forms, 9 peri-sigmoidis abcedations, 3 hemorrhages. Surgical procedures were: 11 Hartmann procedures, 21 resections with anatomosis of the sigmoid colon with 10 non protected and 3 subtotal colectomy. Postoperative mortality was been 11.4%. The global rate of complications was 28.5 and the mean hospital stay was 18.8 +/- 6.3 days. Application of operative criteriae is usefull to shorter significantly the delay of operation and then the length of evolution of the intraperitoneal infection site.
Brunet
C
C
Service de Chirurgie générale et Urgences, Hôpitaux Sud, Marseille.
Gregoire
R
R
Thirion
X
X
Ugarte
S
S
Farisse
J
J
D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D004241:Diverticulum, Colon / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D004635:Emergency Medicine; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011446:Prospective Studies
Complications de la diverticulose colique et chirurgie d'urgence. Etude prospective sur 56 cas.