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[Perforated diverticulitis of the colon. Problems of diagnosis and surgical tactics].
Minerva Chir. 1989 Sep 30; 44(18):1995-2000.MC

Abstract

Perforated diverticulitis of the large bowel is a frequent observation in surgical practice. There is, however, no standard attitude to the procedures to be adopted: the only fixed point is the abandonment of straightforward colostomy and drainage. A series of 16 cases of perforated diverticulitis of the large bowel operated on in emergency and treated with various procedures, i.e. 8 Hartmann resections, 6 Paul-Mikulicz operations, 2 ideal colectomies, 2 colostomies and drainage. The observations made permit a number of considerations: 1) "ideal colectomy" is undoubtedly the best intervention providing the patient presents an early NPT and a temporary colostomy has been made to protect the anastomosis; 2) the rupture of a single diverticulum suggests the Paul-Mikulicz operation and it can be treated at a later stage by straightforward closure; 3) rupture of a diverticulum within the framework of extended diverticular involvement suggests Hartmann's resection; 4) colostomy and drainage should be abolished for its poor results and can be kept for patients in very serious condition.

Authors

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Pub Type(s)

English Abstract
Journal Article

Language

ita

PubMed ID

2616001

Citation

Balducci, D, et al. "[Perforated Diverticulitis of the Colon. Problems of Diagnosis and Surgical Tactics]." Minerva Chirurgica, vol. 44, no. 18, 1989, pp. 1995-2000.
Balducci D, Pancaldi R, Borgo G, et al. [Perforated diverticulitis of the colon. Problems of diagnosis and surgical tactics]. Minerva Chir. 1989;44(18):1995-2000.
Balducci, D., Pancaldi, R., Borgo, G., Chiodaroli, R., Procino, M., Postiglione, V., & Bruni, G. C. (1989). [Perforated diverticulitis of the colon. Problems of diagnosis and surgical tactics]. Minerva Chirurgica, 44(18), 1995-2000.
Balducci D, et al. [Perforated Diverticulitis of the Colon. Problems of Diagnosis and Surgical Tactics]. Minerva Chir. 1989 Sep 30;44(18):1995-2000. PubMed PMID: 2616001.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Perforated diverticulitis of the colon. Problems of diagnosis and surgical tactics]. AU - Balducci,D, AU - Pancaldi,R, AU - Borgo,G, AU - Chiodaroli,R, AU - Procino,M, AU - Postiglione,V, AU - Bruni,G C, PY - 1989/9/30/pubmed PY - 1989/9/30/medline PY - 1989/9/30/entrez SP - 1995 EP - 2000 JF - Minerva chirurgica JO - Minerva Chir VL - 44 IS - 18 N2 - Perforated diverticulitis of the large bowel is a frequent observation in surgical practice. There is, however, no standard attitude to the procedures to be adopted: the only fixed point is the abandonment of straightforward colostomy and drainage. A series of 16 cases of perforated diverticulitis of the large bowel operated on in emergency and treated with various procedures, i.e. 8 Hartmann resections, 6 Paul-Mikulicz operations, 2 ideal colectomies, 2 colostomies and drainage. The observations made permit a number of considerations: 1) "ideal colectomy" is undoubtedly the best intervention providing the patient presents an early NPT and a temporary colostomy has been made to protect the anastomosis; 2) the rupture of a single diverticulum suggests the Paul-Mikulicz operation and it can be treated at a later stage by straightforward closure; 3) rupture of a diverticulum within the framework of extended diverticular involvement suggests Hartmann's resection; 4) colostomy and drainage should be abolished for its poor results and can be kept for patients in very serious condition. SN - 0026-4733 UR - https://www.unboundmedicine.com/medline/citation/2616001/[Perforated_diverticulitis_of_the_colon__Problems_of_diagnosis_and_surgical_tactics]_ L2 - https://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -