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Perforated diverticulitis operated at Sahlgrenska University Hospital 2003-2008.
Dan Med Bull. 2011 Jan; 58(1):A4173.DM

Abstract

All patients with perforated diverticulitis admitted as emergency cases and having undergone colon resection during their initial hospitalisation in the period from 1 January 2003 to 30 June 2008 at one institution were analysed with regard to morbidity and mortality. The group consisted of 106 patients (mean age 65 years, range 32-98 years), 60% of whom had comorbidity. Hartmann's procedure was the initial procedure in 77% and primary resection and anastomosis in 23%. Of these patients 18% underwent reoperation, leading to a mean number of surgical procedures during the initial hospitalisation of 1.3 (range 1-10). The mean length of stay was 17 days, the median stay 12 days (range 1-111 days). A total of 43% of the patients underwent surgery during readmissions. Among the 82 patients operated with Hartmann's procedure, permanent stoma was the end result for 35 patients (43%). Six patients died. This retrospective study confirmed that perforated diverticulitis requiring colon resection was associated with a high risk of reoperation, long hospital stay, readmittance with renewed surgery and permanent stoma. Furthermore, the procedure caused suffering and a considerable drain on resources. The results will be used as the basis for a randomised trial on laparoscopic lavage versus Hartmann's procedure.

Authors+Show Affiliations

Department of Surgery, Alingsås Lasarett.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21205561

Citation

Thornell, Anders, et al. "Perforated Diverticulitis Operated at Sahlgrenska University Hospital 2003-2008." Danish Medical Bulletin, vol. 58, no. 1, 2011, pp. A4173.
Thornell A, Angenete E, Haglind E. Perforated diverticulitis operated at Sahlgrenska University Hospital 2003-2008. Dan Med Bull. 2011;58(1):A4173.
Thornell, A., Angenete, E., & Haglind, E. (2011). Perforated diverticulitis operated at Sahlgrenska University Hospital 2003-2008. Danish Medical Bulletin, 58(1), A4173.
Thornell A, Angenete E, Haglind E. Perforated Diverticulitis Operated at Sahlgrenska University Hospital 2003-2008. Dan Med Bull. 2011;58(1):A4173. PubMed PMID: 21205561.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perforated diverticulitis operated at Sahlgrenska University Hospital 2003-2008. AU - Thornell,Anders, AU - Angenete,Eva, AU - Haglind,Eva, PY - 2011/1/6/entrez PY - 2011/1/6/pubmed PY - 2011/5/26/medline SP - A4173 EP - A4173 JF - Danish medical bulletin JO - Dan Med Bull VL - 58 IS - 1 N2 - All patients with perforated diverticulitis admitted as emergency cases and having undergone colon resection during their initial hospitalisation in the period from 1 January 2003 to 30 June 2008 at one institution were analysed with regard to morbidity and mortality. The group consisted of 106 patients (mean age 65 years, range 32-98 years), 60% of whom had comorbidity. Hartmann's procedure was the initial procedure in 77% and primary resection and anastomosis in 23%. Of these patients 18% underwent reoperation, leading to a mean number of surgical procedures during the initial hospitalisation of 1.3 (range 1-10). The mean length of stay was 17 days, the median stay 12 days (range 1-111 days). A total of 43% of the patients underwent surgery during readmissions. Among the 82 patients operated with Hartmann's procedure, permanent stoma was the end result for 35 patients (43%). Six patients died. This retrospective study confirmed that perforated diverticulitis requiring colon resection was associated with a high risk of reoperation, long hospital stay, readmittance with renewed surgery and permanent stoma. Furthermore, the procedure caused suffering and a considerable drain on resources. The results will be used as the basis for a randomised trial on laparoscopic lavage versus Hartmann's procedure. SN - 1603-9629 UR - https://www.unboundmedicine.com/medline/citation/21205561/Perforated_diverticulitis_operated_at_Sahlgrenska_University_Hospital_2003_2008_ L2 - http://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -