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[Laparoscopic resection with primary anastomosis in Hinchey stages I and II without previous abscess drainage].
Chirurg. 2007 May; 78(5):454, 456-60.C

Abstract

INTRODUCTION

Intra-abdominal abscesses in diverticulitis so far have been drained percutaneously until the acute inflammation subsides and colon resection can be carried out for restoration of continence. However this method is successful in only about half of patients and lavage lasts for 2 to 3 weeks. Therefore it has to be decided whether an early operation without prior interventional drainage can attain results similar to those of the elective operation.

METHODS

We performed primary laparoscopic surgery without prior interventional drainage or colon lavage in 72 patients in Hinchey stages I and II within 12 h of hospital admission. The peri- and postoperative processes were analyzed prospectively using 115 parameters.

RESULTS

There was no difference in the postoperative course of patients receiving elective surgery for recurrent diverticular disease and those undergoing surgery for acute diverticulitis (Hinchey stages I and II). The rates of surgical and general complications were identical (7.7% vs 9.6% and 9% vs 3.6%, respectively). Wound infections were noted in 7.7% and 7.2%, respectively. No case of anastomotic leakage was observed.

CONSEQUENCE

Based on our prospective data (grade of evidence II), we consider laparoscopic sigmoid resection with primary anastomosis (in continuity) in Hinchey stages I and II without prior interventional drainage and colon preparation to be justified.

Authors+Show Affiliations

Klinik für Viszeral-, Thorax- und Gefässchirurgie,Zentrum für minimalinvasive Chirurgie, Klinikum Bremerhaven Reinkenheide, Bremerhaven, Deutschland. thomas.boettger@klinikum-bremerhaven.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

ger

PubMed ID

17342349

Citation

Böttger, T C., et al. "[Laparoscopic Resection With Primary Anastomosis in Hinchey Stages I and II Without Previous Abscess Drainage]." Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, vol. 78, no. 5, 2007, pp. 454, 456-60.
Böttger TC, Müller M, Terzic A, et al. [Laparoscopic resection with primary anastomosis in Hinchey stages I and II without previous abscess drainage]. Chirurg. 2007;78(5):454, 456-60.
Böttger, T. C., Müller, M., Terzic, A., Hermeneit, S., & Rodehorst, A. (2007). [Laparoscopic resection with primary anastomosis in Hinchey stages I and II without previous abscess drainage]. Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, 78(5), 454, 456-60.
Böttger TC, et al. [Laparoscopic Resection With Primary Anastomosis in Hinchey Stages I and II Without Previous Abscess Drainage]. Chirurg. 2007;78(5):454, 456-60. PubMed PMID: 17342349.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Laparoscopic resection with primary anastomosis in Hinchey stages I and II without previous abscess drainage]. AU - Böttger,T C, AU - Müller,M, AU - Terzic,A, AU - Hermeneit,S, AU - Rodehorst,A, PY - 2007/3/8/pubmed PY - 2007/9/8/medline PY - 2007/3/8/entrez SP - 454, 456-60 JF - Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen JO - Chirurg VL - 78 IS - 5 N2 - INTRODUCTION: Intra-abdominal abscesses in diverticulitis so far have been drained percutaneously until the acute inflammation subsides and colon resection can be carried out for restoration of continence. However this method is successful in only about half of patients and lavage lasts for 2 to 3 weeks. Therefore it has to be decided whether an early operation without prior interventional drainage can attain results similar to those of the elective operation. METHODS: We performed primary laparoscopic surgery without prior interventional drainage or colon lavage in 72 patients in Hinchey stages I and II within 12 h of hospital admission. The peri- and postoperative processes were analyzed prospectively using 115 parameters. RESULTS: There was no difference in the postoperative course of patients receiving elective surgery for recurrent diverticular disease and those undergoing surgery for acute diverticulitis (Hinchey stages I and II). The rates of surgical and general complications were identical (7.7% vs 9.6% and 9% vs 3.6%, respectively). Wound infections were noted in 7.7% and 7.2%, respectively. No case of anastomotic leakage was observed. CONSEQUENCE: Based on our prospective data (grade of evidence II), we consider laparoscopic sigmoid resection with primary anastomosis (in continuity) in Hinchey stages I and II without prior interventional drainage and colon preparation to be justified. SN - 0009-4722 UR - https://www.unboundmedicine.com/medline/citation/17342349/[Laparoscopic_resection_with_primary_anastomosis_in_Hinchey_stages_I_and_II_without_previous_abscess_drainage]_ L2 - https://dx.doi.org/10.1007/s00104-007-1304-x DB - PRIME DP - Unbound Medicine ER -