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.
[Perforated diverticulitis of the colon: modalities of the surgical treatment] / Cangemi, Vincenzo; Volpino, Patrizia; S., Gentili; Galati, Gaspare; Borghese, Mario; M., Di Martino; Fiori, Enrico; Piat, Giampaolo. - In: IL GIORNALE DI CHIRURGIA. - ISSN 0391-9005. - 17:5(1996).
[Perforated diverticulitis of the colon: modalities of the surgical treatment].
CANGEMI, Vincenzo;VOLPINO, Patrizia;GALATI, Gaspare;BORGHESE, Mario;FIORI, Enrico;PIAT, Giampaolo
1996
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.