Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Perforated diverticulitis: a surgical dilemma.

V Smirniotis1, D Tsoutsos, A Fotopoulos

  • 12nd Surgical Clinic, Medical School, University of Athens, "Areteion" Hospital, Greece.

International Surgery
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prevention of Entero-Atmospheric Fistula: The Initial Closure of the Abdomen.

Hellenike cheirourgike. Acta chirurgica Hellenica·2021
Same author

Burn injuries and soft tissue traumas complicated by mucormycosis infection: a report of six cases and review of the literature.

Annals of burns and fire disasters·2016
Same author

First report of Dientamoeba fragilis infection explaining acute non-specific abdominal pain.

Indian journal of medical microbiology·2016
Same author

Dopamine D2-Receptor Antagonists Down-Regulate CYP1A1/2 and CYP1B1 in the Rat Liver.

PloS one·2015
Same author

The Use of a New Wound Alginogel for the Treatment of Partial-thickness Hand Burns.

Wounds : a compendium of clinical research and practice·2015
Same author

Demographic, behavioural and physician-related determinants of early melanoma detection in a low-incidence population.

The British journal of dermatology·2014
Same journal

The histopathologic effects of L-carnitine in Sodium Taurocholate Induced Severe Pancreatitis Model.

International surgery·2016
Same journal

DOES NEUTROPHIL TO LYMPHOCYTE RATIO PREDICT HOSPITAL STAY IN APPENDECTOMY PATIENTS?

International surgery·2016
Same journal

Proliferation, Apoptosis and Invasion effects of mistletoe alkali on human osteosarcoma U2OS in vitro.

International surgery·2016
Same journal

Severe Irreversible Diastasis Recti Abdominis and Abdominal Hernia in Postpartum Women: Rare Case Report.

International surgery·2016
Same journal

Mesothelial Cysts of the Round Ligament of the Uterus in 9 Patients: a 15-year experience.

International surgery·2016
Same journal

Successful Conservative Management of a Retroperitoneal Abscess with a Sinus to the Colon: A Case Report.

International surgery·2016
See all related articles

Resection of perforated diverticulitis, including the sigmoid, is recommended regardless of disease stage. Non-resection strategies, like drainage, showed higher mortality rates in this study.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Colorectal Surgery

Background:

  • Perforated diverticulitis presents a significant surgical challenge.
  • Staging systems (A, B, C) help classify disease severity.
  • Treatment strategies vary, impacting patient outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of different surgical approaches for perforated diverticulitis.
  • To determine the optimal management strategy based on disease stage.
  • To analyze the impact of resection versus non-resection on mortality.

Main Methods:

  • Retrospective analysis of 38 patients with perforated diverticulitis over 14 years.
  • Classification of patients into Stage A (mesosigmoid inflammation), Stage B (abscess), and Stage C (peritonitis).

Related Experiment Videos

  • Comparison of outcomes for sigmoid resection (Hartmann's, primary anastomosis) versus non-resection (drainage, colostomy).

    • Main Results:

    • Mortality rates: 0% for Hartmann's, 16.6% for primary anastomosis, 30% for drainage/colostomy, 25% for drainage only.
    • Higher mortality in Stages A and B was linked to less radical operations.
    • Four of five deaths occurred in patients who did not undergo sigmoid resection.

    Conclusions:

    • Resection of the perforated sigmoid, with or without primary anastomosis, is recommended for all stages.
    • Non-resection strategies are associated with increased mortality.
    • Surgical management should prioritize sigmoid resection for perforated diverticulitis.