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[Standardization in sigmoid diverticulitis surgery planning: indications based on evaluation with the Hughes classification].

Abstract

Sigmoid diverticulitis accounts for the most frequent colonic disease in Western countries. We studied 145 patients with diverticulitis (elective resection in 105, emergency resection in 40 patients) using the HUGHES classifications-based indication of the resection procedure (Stage I, acute diverticulitis/colonic wall phlegmonia, continent resection; Stage II, perforated diverticulitis with local perotinitis, continent resection, Hartmann's procedure exceptionally; Stage III/IV, Hartmann's procedure, continent resection exceptionally). Stage-specific morbidity was I: 18%, II: 22%, III/IV: 60%; emergency case mortality was 15%; elective case mortality was 0%. Severe local failure was significantly higher in stage II/IV than stage II/I class diverticulitis. Early elective resection is recommended with regard to morbidity, mortality, and hospitalisation time and related costs.

Authors+Show Affiliations

Klinik und Poliklinik für Allgemeine Chirurgie, Münster.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

9574354

Citation

Winde, G, et al. "[Standardization in Sigmoid Diverticulitis Surgery Planning: Indications Based On Evaluation With the Hughes Classification]." Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress, vol. 114, 1997, pp. 1125-7.
Winde G, Schaudig F, Herwig R, et al. [Standardization in sigmoid diverticulitis surgery planning: indications based on evaluation with the Hughes classification]. Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1125-7.
Winde, G., Schaudig, F., Herwig, R., Schmid, K. W., & Senninger, N. (1997). [Standardization in sigmoid diverticulitis surgery planning: indications based on evaluation with the Hughes classification]. Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress, 114, 1125-7.
Winde G, et al. [Standardization in Sigmoid Diverticulitis Surgery Planning: Indications Based On Evaluation With the Hughes Classification]. Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1125-7. PubMed PMID: 9574354.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Standardization in sigmoid diverticulitis surgery planning: indications based on evaluation with the Hughes classification]. AU - Winde,G, AU - Schaudig,F, AU - Herwig,R, AU - Schmid,K W, AU - Senninger,N, PY - 1997/1/1/pubmed PY - 1998/5/9/medline PY - 1997/1/1/entrez SP - 1125 EP - 7 JF - Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress JO - Langenbecks Arch Chir Suppl Kongressbd VL - 114 N2 - Sigmoid diverticulitis accounts for the most frequent colonic disease in Western countries. We studied 145 patients with diverticulitis (elective resection in 105, emergency resection in 40 patients) using the HUGHES classifications-based indication of the resection procedure (Stage I, acute diverticulitis/colonic wall phlegmonia, continent resection; Stage II, perforated diverticulitis with local perotinitis, continent resection, Hartmann's procedure exceptionally; Stage III/IV, Hartmann's procedure, continent resection exceptionally). Stage-specific morbidity was I: 18%, II: 22%, III/IV: 60%; emergency case mortality was 15%; elective case mortality was 0%. Severe local failure was significantly higher in stage II/IV than stage II/I class diverticulitis. Early elective resection is recommended with regard to morbidity, mortality, and hospitalisation time and related costs. SN - 0942-2854 UR - https://www.unboundmedicine.com/medline/citation/9574354/[Standardization_in_sigmoid_diverticulitis_surgery_planning:_indications_based_on_evaluation_with_the_Hughes_classification]_ L2 - http://www.diseaseinfosearch.org/result/9681 DB - PRIME DP - Unbound Medicine ER -