Abstract
The surgical treatment of perforated diverticulitis of the colon remains a controversial issue. Since 1974 the author's surgical group has consistently utilized emergency removal of the perforated section of the colon in 37 consecutive cases. Resection with primary anastomosis was done in 6 cases, and exteriorization in the remainder (Hartmann's procedure, 26 cases; Bloch-Mikulicz, 5 cases). There were 2 postoperative deaths in elderly females. Postoperative course was uneventful in the other cases, there being no serious complications. Our conclusion is that it should be considered essential to remove a perforated colonic segment from the peritoneal cavity.
Résumé
Le traitement chirurgical de la perforation d'un diverticule colique prête à controverse. Depuis 1974, l'auteur et ses collaborateurs ont traité 37 cas de perforation de diverticules coliques par résection colique: 6 résections suivies d'anastomose colocolique immédiate, 5 opérations de Bloch-Mikulicz, 26 opérations de Hartmann.
2 décès post opératoires de femmes âgées furent à déplorer. L'évolution post opératoire a été favorable chez les autres malades et n'a été marquée d'aucune complication sérieuse.
Nous concluons de ces faits qu'il est capital de réséquer tout segment de colon qui est le siège d'une perforation.
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References
Forster, E.: Abstract. International Society of University Colon and Rectal Surgeons, 1976
Eng, K., Ranson, J.H.C., Localio, S.A.: Resection of the perforated segment. A significant advance in treatment of diverticulitis with free perforation or abscess. Am. J. Surg.133:67, 1977
Brückner, R.: Kolondivertikulitis—Indikationen zur Operation und Ergebnisse. Leber Magen Darm7:108, 1977
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Risholm, L. Primary resection in perforating diverticulitis of the colon. World J. Surg. 6, 490–491 (1982). https://doi.org/10.1007/BF01657689
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DOI: https://doi.org/10.1007/BF01657689