title: [Perforated diverticulitis of the colon: modalities of the surgical treatment].
abstract: A retrospective study was carried on 66 patients surgically treated for perforated diverticular colonic disease: 22 had acute phlegmon or pericolic abscess and underwent primary resection and anastomosis. Of the remaining 44 patients, who had multiple pericolic and/or pelvic abscesses, or generalized peritonitis, in 30 cases the Hartmann procedure was used, 6 underwent Mikulicz operation, while drainage with proximal colostomy was performed in 5 cases, and simple suture and drainage in the last 3 cases. Operative mortality was 18.2%. Mortality rate was higher in patients treated by colostomy and drainage. The Hartmann procedure and resection-anastomosis patients had a mortality rate of 23.3% and 4.4% respectively. No mortality was registered among patients treated with suture and drainage.
authors: Istituto di Clinica Chirurgica, Università degli Studi La Sapienza, Roma.
authors: V
authors: V
authors: Cangemi
authors: P
authors: P
authors: Volpino
authors: S
authors: S
authors: Gentili
authors: G
authors: G
authors: Galati
authors: M
authors: M
authors: Borghese
authors: M
authors: M
authors: Di Martino
authors: E
authors: E
authors: Fiori
authors: G
authors: G
authors: Piat
mesh_terms: D003125:Colostomy; D004239:Diverticulitis, Colonic / Q000150:complications / Q000601:surgery*; D004322:Drainage; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology / Q000601:surgery
vernacular_title: La diverticolite perforata del colon: modalità di trattamento chirurgico.