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Primary resection without anastomosis for perforation of acute diverticulitis


, : Primary resection without anastomosis for perforation of acute diverticulitis. Surgery, Gynecology & Obstetrics 152(1): 30-32

With perforation during acute diverticulitis, with or without abscess, the highest mortality occurs in patients in whom a transverse colostomy with drainage alone is done. This is no longer to be considered an acceptable method of management. The advantage of removal of the diseased intestine is paramount. Anastomosis under unfavorable conditions is avoided. The results in this group of severe, acutely ill patients with associated multiple systemic disease encouraged wider application of the Hartmann operation for the complex problems of inflammation of the diverticulum.


Accession: 006184469

PMID: 7455886

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Related references

Saccomani, G.E.; Santi, F.; Gramegna, A., 1993: Primary resection with and without anastomosis for perforation of acute diverticulitis. The results of management of perforated large bowel diverticulitis were retrospectively studied over a 7-year period. 38 patients underwent operation, 20 for generalized peritonitis, 12 for local peritonitis, 5 for colovesical fistula and 1 for co...

Farkouh, E.; Hellou, G.; Allard, M.; Atlas, H., 1982: Resection and primary anastomosis for diverticulitis with perforation and peritonitis. Primary resection is the treatment of choice for diverticulitis of the colon with perforation and generalized peritonitis. Although there has been controversy concerning the management of the bowel ends after resection, for the last 20 years immed...

Dandekar, N.V.; McCann, W.J., 1969: Primary resection and anastomosis in the management of perforation of diverticulitis of the sigmoid flexure and diffuse peritonitis. Diseases of the Colon and Rectum 12(3): 172-175

Alanis, A.; Papanicolaou, G.K.; Tadros, R.R.; Fielding, L.P., 1989: Primary resection and anastomosis for treatment of acute diverticulitis. The patterns of presentation and associated treatments of 65 patients with acute perforated diverticulitis of the left colon have been reviewed. Four types of operations were identified: primary resection with anastomosis (group I, N = 29), primar...

Medina, V.A.; Papanicolaou, G.K.; Tadros, R.R.; Fielding, L.P., 1991: Acute perforated diverticulitis: primary resection and anastomosis?. Surgical management of patients with acute colonic diverticulitis is evolving from multiple towards single operations. The patterns of presentation and treatment of 146 patients with acute perforated diverticulitis have been reviewed (1983-1988) u...

Maggard, M.A.; Thompson, J.E.; Schmit, P.J.; Chandler, C.F.; Bennion, R.S.; Au, A.; Hines, O.J., 1999: Same admission colon resection with primary anastomosis for acute diverticulitis. Current standard of care for complicated diverticulitis includes urgent resection with colostomy versus antibiotic treatment, followed by delayed resection with primary anastomosis at a second admission. In certain circumstances, it is possible to...

Dinstl, K.; Kriwanek, S.; Armbruster, C.; Tuchmann, A., 1989: Indications for primary anastomosis following resection of acute diverticulitis of the large intestine. A retrospective review of 102 patients (1979-1987) was performed to evaluate the surgical management of complicated diverticulitis. The following operative strategy was found to be effective: 1. the Hartmann procedure in free perforation and diffu...

Abbas, S., 2006: Resection and primary anastomosis in acute complicated diverticulitis, a systematic review of the literature. Objective: To determine the safety and feasibility of primary resection and anastomosis with or without a diverting stoma, as compared to Hartmann's procedure, for patients with acute complicated sigmoid diverticulitis. Search Strategy: MEDL...

Gall, F., 1989: Acute diverticulitis with diffuse peritonitis--can one accept the recommendation for a single stage resection with primary anastomosis without reservation?. Langenbecks Archiv für Chirurgie 374(5): 257-258

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