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[Surgical treatment of diffuse peritonitis caused by perforated perisigmoiditis. A prospective, randomized study].
Ugeskr Laeger. 1994 Feb 14; 156(7):970-3.UL

Abstract

A prospective randomized trial was carried out on 62 patients with diffuse peritonitis from perforated diverticulitis of the left colon, which compared acute transverse colostomy, suture and omental covering of a visible perforation to acute resection without primary anastomosis. For purulent peritonitis the postoperative mortality rate was significantly higher after acute resection (six of 25) than after colostomy (none of 21). In those treated by acute resection, the mortality rate was not significantly higher after Hartmann's procedure (five of 15) than after exteriorization of both lumens (one of ten). The postoperative mortality rate in patients with faecal peritonitis did not differ significantly between colostomy (six of ten) and acute resection (two of six). Stomas became permanent in four of 25 patients with diverticulitis surviving acute colostomy and in seven of 22 surviving acute resection. Suture and transverse colostomy is superior to resection for purulent peritonitis because of the lower postoperative mortality rate.

Authors+Show Affiliations

Odense Sygehus, Kirurgisk afdeling A.

Pub Type(s)

Clinical Trial
Comparative Study
English Abstract
Journal Article
Randomized Controlled Trial

Language

dan

PubMed ID

8009740

Citation

Kronborg, O. "[Surgical Treatment of Diffuse Peritonitis Caused By Perforated Perisigmoiditis. a Prospective, Randomized Study]." Ugeskrift for Laeger, vol. 156, no. 7, 1994, pp. 970-3.
Kronborg O. [Surgical treatment of diffuse peritonitis caused by perforated perisigmoiditis. A prospective, randomized study]. Ugeskr Laeger. 1994;156(7):970-3.
Kronborg, O. (1994). [Surgical treatment of diffuse peritonitis caused by perforated perisigmoiditis. A prospective, randomized study]. Ugeskrift for Laeger, 156(7), 970-3.
Kronborg O. [Surgical Treatment of Diffuse Peritonitis Caused By Perforated Perisigmoiditis. a Prospective, Randomized Study]. Ugeskr Laeger. 1994 Feb 14;156(7):970-3. PubMed PMID: 8009740.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Surgical treatment of diffuse peritonitis caused by perforated perisigmoiditis. A prospective, randomized study]. A1 - Kronborg,O, PY - 1994/2/14/pubmed PY - 1994/2/14/medline PY - 1994/2/14/entrez SP - 970 EP - 3 JF - Ugeskrift for laeger JO - Ugeskr Laeger VL - 156 IS - 7 N2 - A prospective randomized trial was carried out on 62 patients with diffuse peritonitis from perforated diverticulitis of the left colon, which compared acute transverse colostomy, suture and omental covering of a visible perforation to acute resection without primary anastomosis. For purulent peritonitis the postoperative mortality rate was significantly higher after acute resection (six of 25) than after colostomy (none of 21). In those treated by acute resection, the mortality rate was not significantly higher after Hartmann's procedure (five of 15) than after exteriorization of both lumens (one of ten). The postoperative mortality rate in patients with faecal peritonitis did not differ significantly between colostomy (six of ten) and acute resection (two of six). Stomas became permanent in four of 25 patients with diverticulitis surviving acute colostomy and in seven of 22 surviving acute resection. Suture and transverse colostomy is superior to resection for purulent peritonitis because of the lower postoperative mortality rate. SN - 0041-5782 UR - https://www.unboundmedicine.com/medline/citation/8009740/[Surgical_treatment_of_diffuse_peritonitis_caused_by_perforated_perisigmoiditis__A_prospective_randomized_study]_ DB - PRIME DP - Unbound Medicine ER -