Comparison of Hartmann’s procedure vs. resection with primary anastomosis in perforated sigmoid diverticulitis: a retrospective single-center study

Autor:	Dario D’Antonio, Chiara Dell’Isola, Francesco Pizza, Alberto Marvaso, Michele Arcopinto
Rok vydání:	2020
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Peritonitis Diverticulitis Single Center medicine.disease Cardiac surgery Surgery Stoma 03 medical and health sciences Ileostomy 0302 clinical medicine 030220 oncology & carcinogenesis medicine Performed Procedure 030211 gastroenterology & hepatology business Abdominal surgery
Zdroj:	European Surgery. 52:179-186
ISSN:	1682-4016 1682-8631
DOI:	10.1007/s10353-020-00633-4
Popis:	The surgical management of perforated sigmoid diverticulitis (PSD) is controversial and challenging. Hartmann’s procedure (HP) still remains the most frequently performed procedure for diffuse peritonitis. However, because less than 50% of patients never achieve restored bowel continuity, alternative surgical procedures have been proposed, including laparoscopic lavage and resection with primary anastomosis (PRA), with or without a covering ileostomy. We performed a retrospective study to compare HP vs. PRA with loop-ileostomy for the treatment of PSD with generalized peritonitis. Data from 194 patients operated on for PSD from January 2008 to December 2018 were analyzed. Patients were classified into two groups: PRA and HP, according to the surgical procedure performed. In all, 113 (58%) patients underwent HP while PRA was performed on 81 (42%) patients. Primary anastomosis was associated with fewer postoperative major complications than HP (p
Databáze:	OpenAIRE
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