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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

Balducci D
No affiliation info available
Pancaldi R
No affiliation info available
Borgo G
No affiliation info available
Chiodaroli R
No affiliation info available
Procino M
No affiliation info available
Postiglione V
No affiliation info available
Bruni GC
No affiliation info available

MeSH

AgedAged, 80 and overDiverticulitis, ColonicFemaleHumansIntestinal PerforationMaleMethodsMiddle Aged

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 -