title: [The changes in the emergency surgical treatment of diverticulitis in the last thirty-years].
abstract: BACKGROUND
  The surgical management of diverticulitis in emergency is controversial: The primary reconstructive surgery or Hartmann's procedure?
  
  
  METHODS
  The Authors have analyzed our experience on 409 cases of diverticulitis from January 1975 to December 2004; 101/409 were treated in emergency and divided in two groups before and after December 1994. The patients were divided on Hinchey's classification, type of surgical procedure, ASA status and complications. The Authors have analyzed all cases by t-Student and chi2 analysis.
  
  
  RESULTS
  No difference between two groups on age, sex, concomitant diseases are observed. The hospital stay in patients treated in emergency was 10.2 days to 7.1 days in patients operated after 24 hours (p<0.05). The incidence of primary anastomosis in the second group is higher (p<0.03). The incidence of leaks in two groups was respectively 27.2% and 10.3% (p<0.005). The deaths were 12/101 (11.8%); 9 of these in III-IV stages of Hinchey's classification.
  
  
  CONCLUSIONS
  In the lasts ten years the surgical approach to diverticulitis in emergency is changed. The individual risks factors, the Hinchey's stage, play an important role in decision making. The Authors have registered a major indications to primary anastomosis in emergency.
authors.affiliation: Clinica Chirurgica Generale e Trapianti d'Organo, Università degli Studi di Parma. paolo.del.rio@unipr.it
authors.forename: Paolo
authors.initials: P
authors.lastname: Del Rio
authors.forename: Paolo
authors.initials: P
authors.lastname: Dell'Abate
authors.forename: Paolo
authors.initials: P
authors.lastname: Soliani
authors.forename: Stefanie
authors.initials: S
authors.lastname: Ziegler
authors.forename: Maria Francesca
authors.initials: MF
authors.lastname: Arcuri
authors.forename: Mario
authors.initials: M
authors.lastname: Sianesi
mesh_terms: D003108:Colonic Diseases / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D004238:Diverticulitis / Q000601:surgery*; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors