Sigmoidectomy with primary anastomosis for complicated diverticulitis.

Area of Science:

• Gastroenterology
• Surgical Oncology
• Colorectal Surgery

Background:

• Complicated diverticulitis can be managed with resection and intestinal continuity restoration.
• Adequate morbidity and mortality outcomes are achievable with surgical intervention.

Purpose of the Study:

• To evaluate surgical procedures for complicated diverticulitis at a specific center.
• To assess patient outcomes, including morbidity and mortality, following these procedures.

Main Methods:

• A retrospective study of 77 patients who underwent sigmoidectomy for complicated diverticulitis between 2005-2012.
• Analysis of surgical techniques, focusing on primary anastomosis versus Hartmann's procedure.
• Evaluation of postoperative complications and mortality within 30 days.

Main Results:

• Sigmoidectomy with primary anastomosis was performed in 58.4% of patients, often for milder cases (Hinchey i-ii).
• Open surgery was predominant (85.7%). Complications occurred in 23.4% of patients, with a trend towards more in Hartmann's procedure.
• Mortality rate was 2.6%.

Conclusions:

• Sigmoidectomy with primary anastomosis is a common surgical approach for complicated diverticulitis.
• No significant difference in morbidity and mortality was observed between primary anastomosis and Hartmann's procedure.