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[Surgery of complicated diverticular sigmoiditis. Report of 138 cases (author's transl)].
J Chir (Paris). 1978 Apr; 115(4):205-12.JC

Abstract

The authors analyse a series of 138 cases of complicated diverticular sigmoiditis treated surgically. They noted 50% of pyostercoral peritonitis, 32% of persigmoid abscesses, 13% of case of intestinal obstruction, and 5% of cases of fistual or hemorrhage. The overall mortality was 28% and depended mainly more on the surgical management adopted than on the type of complication. In this respect, simple colostomy with drainage of the septic focus had a mortality of 18%. The results suggest surgical operation in two stages, in the form of colonic resection, with, depending on each case, an anastomosis straight away with transverse colostomy or segmental colectomy with bitubular colostomy (Mikulicz procedure) or, in rarer cases, simple colostomy. The authors emphasise the interest of early surgery in sigmoiditis with complications and contrast the mortality of cold surgery which is now about 5% compared with 28% in emergency cases with complications.

Authors

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Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

306391

Citation

Hollender, L F., et al. "[Surgery of Complicated Diverticular Sigmoiditis. Report of 138 Cases (author's Transl)]." Journal De Chirurgie, vol. 115, no. 4, 1978, pp. 205-12.
Hollender LF, Meyer C, Calderoli H, et al. [Surgery of complicated diverticular sigmoiditis. Report of 138 cases (author's transl)]. J Chir (Paris). 1978;115(4):205-12.
Hollender, L. F., Meyer, C., Calderoli, H., Jamart, J., & Alexiou, R. (1978). [Surgery of complicated diverticular sigmoiditis. Report of 138 cases (author's transl)]. Journal De Chirurgie, 115(4), 205-12.
Hollender LF, et al. [Surgery of Complicated Diverticular Sigmoiditis. Report of 138 Cases (author's Transl)]. J Chir (Paris). 1978;115(4):205-12. PubMed PMID: 306391.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgery of complicated diverticular sigmoiditis. Report of 138 cases (author's transl)]. AU - Hollender,L F, AU - Meyer,C, AU - Calderoli,H, AU - Jamart,J, AU - Alexiou,R, PY - 1978/4/1/pubmed PY - 1978/4/1/medline PY - 1978/4/1/entrez SP - 205 EP - 12 JF - Journal de chirurgie JO - J Chir (Paris) VL - 115 IS - 4 N2 - The authors analyse a series of 138 cases of complicated diverticular sigmoiditis treated surgically. They noted 50% of pyostercoral peritonitis, 32% of persigmoid abscesses, 13% of case of intestinal obstruction, and 5% of cases of fistual or hemorrhage. The overall mortality was 28% and depended mainly more on the surgical management adopted than on the type of complication. In this respect, simple colostomy with drainage of the septic focus had a mortality of 18%. The results suggest surgical operation in two stages, in the form of colonic resection, with, depending on each case, an anastomosis straight away with transverse colostomy or segmental colectomy with bitubular colostomy (Mikulicz procedure) or, in rarer cases, simple colostomy. The authors emphasise the interest of early surgery in sigmoiditis with complications and contrast the mortality of cold surgery which is now about 5% compared with 28% in emergency cases with complications. SN - 0021-7697 UR - https://www.unboundmedicine.com/medline/citation/306391/[Surgery_of_complicated_diverticular_sigmoiditis__Report_of_138_cases__author's_transl_]_ L2 - https://medlineplus.gov/abscess.html DB - PRIME DP - Unbound Medicine ER -