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Surgical treatment of perforations of the sigmoid colon.
Acta Chir Scand. 1976; 142(6):467-9.AC

Abstract

Previous reports show evidence that perforation of the sigmoid colon with diffuse peritonitis, when conventionally treated (i.e. by suture, drainage, and proximal defunctioning colostomy) is associated with a high mortality. Recent investigations, however, indicate that the mortality can be lowered considerably if acute resection or exteriorization of the affected segment of the bowel is performed. Fifteen patients with perforated lesions in the sigmoid colon associated with diffuse peritonitis were treated with drainage and right transverse colostomy during the 10-year period 1963-72 with five deaths. In comparison, during the last years, ten patients with perforation and diffuse peritonitis were treated with acute resection or exteriorization of the affected segment of the bowel without any mortality. Though the two patient series are not completely comparable, the results imply that removal or exteriorization of the affected bowel is to be preferred in the surgical treatment of most perforated lesions in the sigmoid colon, even if the perforation is associated with diffuse peritonitis.

Authors

No affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

1007794

Citation

Nilsson, L O.. "Surgical Treatment of Perforations of the Sigmoid Colon." Acta Chirurgica Scandinavica, vol. 142, no. 6, 1976, pp. 467-9.
Nilsson LO. Surgical treatment of perforations of the sigmoid colon. Acta Chir Scand. 1976;142(6):467-9.
Nilsson, L. O. (1976). Surgical treatment of perforations of the sigmoid colon. Acta Chirurgica Scandinavica, 142(6), 467-9.
Nilsson LO. Surgical Treatment of Perforations of the Sigmoid Colon. Acta Chir Scand. 1976;142(6):467-9. PubMed PMID: 1007794.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical treatment of perforations of the sigmoid colon. A1 - Nilsson,L O, PY - 1976/1/1/pubmed PY - 1976/1/1/medline PY - 1976/1/1/entrez SP - 467 EP - 9 JF - Acta chirurgica Scandinavica JO - Acta Chir Scand VL - 142 IS - 6 N2 - Previous reports show evidence that perforation of the sigmoid colon with diffuse peritonitis, when conventionally treated (i.e. by suture, drainage, and proximal defunctioning colostomy) is associated with a high mortality. Recent investigations, however, indicate that the mortality can be lowered considerably if acute resection or exteriorization of the affected segment of the bowel is performed. Fifteen patients with perforated lesions in the sigmoid colon associated with diffuse peritonitis were treated with drainage and right transverse colostomy during the 10-year period 1963-72 with five deaths. In comparison, during the last years, ten patients with perforation and diffuse peritonitis were treated with acute resection or exteriorization of the affected segment of the bowel without any mortality. Though the two patient series are not completely comparable, the results imply that removal or exteriorization of the affected bowel is to be preferred in the surgical treatment of most perforated lesions in the sigmoid colon, even if the perforation is associated with diffuse peritonitis. SN - 0001-5482 UR - https://www.unboundmedicine.com/medline/citation/1007794/Surgical_treatment_of_perforations_of_the_sigmoid_colon_ DB - PRIME DP - Unbound Medicine ER -