Distant free air is not a contraindication for definitive laparoscopic treatment of acute perforated diverticulitis: a multi-center experience

Autor:	Emanuele, Di Fratta, Giulio, Mari, Jacopo, Crippa, Claudia, Siracusa, Andrea, Costanzi, Richard, Sassun, Dario, Maggioni, Abe, Fingerhut
Rok vydání:	2022
Předmět:	Fistula Intestinal Perforation Contraindications Humans Laparoscopy Peritonitis Diverticulitis Anti-Bacterial Agents Diverticulitis Colonic
Zdroj:	Updates in surgery. 74(5)
ISSN:	2038-3312
Popis:	The paradigm of emergency laparotomy with sigmoid resection and protective stoma has been challenged for perforated diverticular disease (PDD) with free extraluminal air. Early clinical stabilization could lead to interval laparoscopic resection without stoma within 2 weeks from perforation. Patients admitted for acute diverticulitis underwent abdominal computed tomography (CT) scan. When free air was seen, endoluminal enema was administred. All patients underwent assessement of clinical stability. In unstable patients, upfront emergency surgery was performed. Stable patients underwent a conservative management consisting in fasting, central line intravenous fluids, antibiotic therapy, pain management, O
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::28d5fdfdeeb743b15072129545609764 https://pubmed.ncbi.nlm.nih.gov/35804223 Zobrazit plný text záznamu Full text from SpringerLink