Perforated diverticulitis is a much feared complication of diverticular disease and requires immediate surgical therapy to limit the incipient peritonitis and its sequelae. The ensuing surgical approach which could best irradiate the septic focus as well as restore normal intestinal continuity with less morbidity and mortality has been a matter of controversy. In the last ten years primary resection and colostomy has replaced the three-stage procedure in most cases of peritonitis. Primary anastomosis, when peritoneal involvement is well confined, has been shown to give excellent results. To assess the surgical management of perforating diverticulitis in Austria, a questionnaire was sent to leading hospitals throughout the country and information of 241 patients with perforating diverticulitis was compiled. The overall peroperative mortality was 9%, and the highest rate of complication (37.9%) was observed after primary resection and anastomosis with temporary defunctioning proximal colostomy. The mortality, as expected, is directly proportional to the extent of peritonitis; it was significantly greater among patients with generalised peritonitis and lowest among cases of covered perforation.

译文

穿孔憩室炎是憩室疾病的一种令人担忧的并发症,需要立即手术治疗以限制初期腹膜炎及其后遗症。随后的手术方法可以最好地照射脓毒症灶,并恢复正常的肠道连续性,降低发病率和死亡率,这一直是一个有争议的问题。在过去的十年中,大多数腹膜炎病例的原发性切除和结肠造口术已取代了三阶段手术。当腹膜受累受到很好的限制时,原发性吻合已被证明具有出色的效果。为了评估奥地利穿孔憩室炎的外科治疗,向全国各地的主要医院发送了一份问卷,并收集了241例穿孔憩室炎患者的信息。总的围手术期死亡率为9%,并且在一次切除和吻合术合并临时近端结肠造口术后观察到最高的并发症发生率 (37.9%)。如预期的那样,死亡率与腹膜炎的程度成正比; 在全身性腹膜炎患者中,死亡率显着更高,而在覆盖穿孔病例中最低。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录