Generalized peritonitis due to perforated diverticulitis: Hartmann’s procedure or primary anastomosis?
| Autor: | Esther Kreisler, Thomas Golda, Eduardo Jaurrieta, Ricardo Frago, Sebastiano Biondo, Loris Trenti, Millan Monica, Domenico Fraccalvieri |
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| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Peritonitis Anastomosis Severity of Illness Index complex mixtures Ileostomy Internal medicine Severity of illness Performed Procedure Humans Medicine Digestive System Surgical Procedures Diverticulitis Aged Demography Postoperative Care business.industry Anastomosis Surgical Gastroenterology Middle Aged Plastic Surgery Procedures Hepatology medicine.disease Colorectal surgery Surgery Intestinal Perforation Multivariate Analysis Female business |
| Zdroj: | International Journal of Colorectal Disease. 26:377-384 |
| ISSN: | 1432-1262 0179-1958 |
| DOI: | 10.1007/s00384-010-1071-x |
| Popis: | Hartmann’s procedure (HP) still remains the most frequently performed procedure for diffuse peritonitis due to perforated diverticulitis. The aims of this study were to assess the feasibility and safety of resection with primary anastomosis (RPA) in patients with purulent or fecal diverticular peritonitis and review morbidity and mortality after single stage procedure and Hartmann in our experience. From January 1995 through December 2008, patients operated for generalized diverticular peritonitis were studied. Patients were classified into two main groups: RPA and HP. A total of 87 patients underwent emergency surgery for diverticulitis complicated with purulent or diffuse fecal peritonitis. Sixty (69%) had undergone HP while RPA was performed in 27 patients (31%). At the multivariate analysis, RPA was associated with less post-operative complications (P |
| Databáze: | OpenAIRE |
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