Elective Surgery for Sigmoid Diverticulitis - Indications, Techniques, and Results
نویسندگان
چکیده
Diverticulitis is one of the leading indications for elective colonic resections although there is an ongoing controversial discussion about classification, stage-dependent therapeutic options, and therapy settings. As there is a rising trend towards conservative therapy for diverticular disease even in patients with a complicated form of diverticulitis, we provide a compact overview of current surgical therapy principles and the remaining questions to be answered.
منابع مشابه
[Indications and long term results of elective surgery for sigmoid diverticular disease].
BACKGROUND There are no clear guidelines for the indication of elective surgery in sigmoid diverticular disease. AIM To analyze the indications and long term results of elective surgery in sigmoid diverticular disease. MATERIAL AND METHODS Retrospective review of 100 patients (age range 25-86 years, 51 male) with sigmoid diverticular disease, operated in a lapse of 22 years. Sixty seven pat...
متن کاملIndications for elective sigmoid resection in diverticular disease.
INTRODUCTION To prevent an acute surgery, classic indications for elective sigmoid resections concerning diverticulitis have usually been based on the number of recurrent episodes. Since 2005 these indications have been challenged, primarily because the majority of patients first present themselves with acute complications at their first episode. METHODS Between 1990 and 2000, a cohort analys...
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PURPOSE Colon diverticulitis is a common illness with affects 37-45% of western populations. Indications regarding therapy guidelines, operative timing and which surgical procedure to perform are still controversial. MATERIAL AND METHOD Between January 1977 and December 1997, 239 patients, diagnosed with diverticulitis, have been admitted, on emergency, to our Department of General Surgery; 1...
متن کاملTrends in the surgical management of diverticulitis
Sigmoid diverticulitis is an increasingly common Western disease associated with a high morbidity and cost of treatment. Improvement in the understanding of the disease process, along with advances in the diagnosis and medical management has led to recent changes in treatment recommendations. The natural history of diverticulitis is more benign than previously thought, and current trends favor ...
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From March 1995 through March 2000, we treated patients with the laparoscopic approach who had emergent and urgent indications for surgery. We report a series of 17 procedures in 16 patients in the acute category excluding those with active bleeding. One case of morbidity (DVT) but no moralities occurred, with 3 of 17 patients converted to an open approach. The postoperative course and subseque...
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عنوان ژورنال:
دوره 31 شماره
صفحات -
تاریخ انتشار 2015