[Discontinuity resection in therapy of complicated sigmoid diverticulitis].
A total of 112 patients were operated on for severe complicated sigmoid diverticulitis, Hartmann's procedure was performed due to local or generalised peritonitis, 80% to them as emergency surgery. There was a mortality of 18.8% due to the sepsis or other complications. Sixty-two of the remaining 80 patients underwent a restorative procedure without any mortality and low morbidity (11 died after discharge not related to the colon disease). Resection and primary anastomsis is always the first choice, but in cases of severe peritonitis there is no discomfort or risk for the patient if Hartmann's procedure with restorative surgery is chosen.
Kästel
M
M
Abteilung für Abdominal-, Thorax- und endokrine Chirurgie, Klinikum Nürnberg-Nord.
Schultheis
K H
KH
Haubenreisser
F
F
Gebhardt
C
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D004239:Diverticulitis, Colonic / Q000401:mortality / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010538:Peritonitis / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D012810:Sigmoid Diseases / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate
Die Diskontinuitätsresektion in der Therapie der komplizierten Sigmadivertikulitis.