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Updated: May 14, 2026
08:20
Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
Published on: July 12, 2018
[Current concepts of perforated sigmoid diverticulitis]
Alexandre Descloux1, Markus Doß, Andreas Keerl
1Klinik für Allgemein-, Viszeral- und Gefässchirurgie, Kantonsspital Baden.
Praxis
|February 7, 2013
Summary
Perforated sigmoid diverticulitis is dangerous. Treatment depends on whether the perforation is covered or free, prioritizing bowel resection to prevent sepsis. Advanced cases may need Hartmann
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Surgery
Background:
- Perforated sigmoid diverticulitis remains a life-threatening condition despite advances in therapy.
- Distinguishing between covered and free perforations is crucial for appropriate management.
- Abdominal sepsis is a primary concern, necessitating prompt intervention.
Purpose of the Study:
- To outline diagnostic and therapeutic strategies for perforated sigmoid diverticulitis.
- To differentiate management approaches for covered versus free perforations.
- To discuss the role of individual risk profiles and surgical experience in treatment decisions.
Main Methods:
- Review of current therapeutic options for perforated sigmoid diverticulitis.
- Emphasis on surgical resection as the primary goal for free perforations.
- Discussion of conservative management and interventional drainage for covered perforations.
Main Results:
- Excision of the inflamed bowel segment is key to preventing abdominal sepsis.
- Primary anastomosis is preferred for free perforations when feasible.
- Hartmann procedure may be necessary in advanced or complicated cases.
- Individualized treatment decisions are based on risk profiles and peritonitis severity.
Conclusions:
- Management of perforated sigmoid diverticulitis requires careful consideration of perforation type and patient factors.
- Surgical resection remains the cornerstone of treatment for free perforations.
- Emerging techniques like laparoscopic lavage require further investigation and validation.
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