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Closure of colostomy following sigmoid colon resection for perforated diverticulitis.
Surg Gynecol Obstet. 1980 Jan; 150(1):85-90.SG

Abstract

Hartmann resection has been the treatment of choice for perforated diverticulitis of the sigmoid colon at the Vancouver General Hospital for nearly 20 years. A retrospective analysis of 70 patients who had the colonic stomas closed following the Hartmann resection was done. A modified Hartmann resection for the initial procedure has been recommended on the basis of fewer complication and shorter hospital stay when the closure operation is performed. The modification consists of the creation of a distal mucus fistula rather than suturing the rectum closed. To facilitate the creation of a distal mucus fistula, it is suggested that less sigmoid colon be resected at the time of the initial operation. The colon can be assessed for residual diverticular disease later and more resected at the later closure operation if required.

Authors

No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7350709

Citation

Bell, G A.. "Closure of Colostomy Following Sigmoid Colon Resection for Perforated Diverticulitis." Surgery, Gynecology & Obstetrics, vol. 150, no. 1, 1980, pp. 85-90.
Bell GA. Closure of colostomy following sigmoid colon resection for perforated diverticulitis. Surg Gynecol Obstet. 1980;150(1):85-90.
Bell, G. A. (1980). Closure of colostomy following sigmoid colon resection for perforated diverticulitis. Surgery, Gynecology & Obstetrics, 150(1), 85-90.
Bell GA. Closure of Colostomy Following Sigmoid Colon Resection for Perforated Diverticulitis. Surg Gynecol Obstet. 1980;150(1):85-90. PubMed PMID: 7350709.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Closure of colostomy following sigmoid colon resection for perforated diverticulitis. A1 - Bell,G A, PY - 1980/1/1/pubmed PY - 1980/1/1/medline PY - 1980/1/1/entrez SP - 85 EP - 90 JF - Surgery, gynecology & obstetrics JO - Surg Gynecol Obstet VL - 150 IS - 1 N2 - Hartmann resection has been the treatment of choice for perforated diverticulitis of the sigmoid colon at the Vancouver General Hospital for nearly 20 years. A retrospective analysis of 70 patients who had the colonic stomas closed following the Hartmann resection was done. A modified Hartmann resection for the initial procedure has been recommended on the basis of fewer complication and shorter hospital stay when the closure operation is performed. The modification consists of the creation of a distal mucus fistula rather than suturing the rectum closed. To facilitate the creation of a distal mucus fistula, it is suggested that less sigmoid colon be resected at the time of the initial operation. The colon can be assessed for residual diverticular disease later and more resected at the later closure operation if required. SN - 0039-6087 UR - https://www.unboundmedicine.com/medline/citation/7350709/Closure_of_colostomy_following_sigmoid_colon_resection_for_perforated_diverticulitis_ L2 - http://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -