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

Surgery for complicated diverticulitis

D A Rothenberger1, O Wiltz

  • 1Department of Surgery, University of Minnesota, Minneapolis.

The Surgical Clinics of North America
|October 1, 1993
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

Optimizing rectal cancer management: analysis of current evidence.

Diseases of the colon and rectum·2014
Same author

Aetiology and surgical management of toxic megacolon.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2006
Same author

Salvage abdominoperineal resection after failed Nigro protocol: modest success, major morbidity.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2006
Same author

Adjuvant radiation for rectal cancer: do we measure up to the standard of care? An epidemiologic analysis of trends over 25 years in the United States.

Diseases of the colon and rectum·2005
Same author

Evidence-based practice requires evidence.

The British journal of surgery·2004
Same author

Treatment of locally recurrent rectal cancer.

Diseases of the colon and rectum·2001
Same journal

Social Determinants of Health, Health Disparities, and Surgical Equity.

The Surgical clinics of North America·2026
Same journal

Beyond the Scalpel's Reach.

The Surgical clinics of North America·2026
Same journal

Stepwise Solutions-Society.

The Surgical clinics of North America·2026
Same journal

Stepwise Solutions-Hospitals.

The Surgical clinics of North America·2026
Same journal

Stepwise Solutions for Providers.

The Surgical clinics of North America·2026
Same journal

Stepwise Solutions-Patients Social Determinants of Health, Health Disparities, and Surgical Equity.

The Surgical clinics of North America·2026
See all related articles

Surgical treatment for complicated diverticulitis lacks randomized trials. Patient outcomes depend more on disease severity and comorbidities than the specific operative procedure. Careful patient management can minimize risks.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Colorectal Surgery

Background:

  • Surgical management of acute, complicated diverticulitis lacks definitive randomized controlled trials.
  • Current practice relies on surgeon experience and judgment for operative decisions.
  • Patient outcomes are significantly influenced by disease severity and comorbidities.

Purpose of the Study:

  • To provide guidelines for surgical decision-making in acute, complicated diverticulitis.
  • To emphasize principles that minimize morbidity and mortality.
  • To advocate for a structured approach to surgical intervention.

Main Methods:

  • Review of existing knowledge and clinical judgment in surgical practice.
  • Emphasis on patient stabilization and preoperative optimization.

Related Experiment Videos

  • Discussion of operative principles and algorithmic approach.

    • Main Results:

    • Morbidity and mortality are primarily linked to disease severity and patient comorbidities (peritonitis, medical history, immune/nutritional status).
    • Converting emergency surgery to urgent or elective status is often achievable and beneficial.
    • Preoperative stabilization, abscess drainage, and bowel preparation can facilitate primary anastomosis.

    Conclusions:

    • Adherence to established surgical principles can significantly reduce morbidity and mortality in complicated diverticulitis.
    • Prioritizing patient stabilization and optimizing conditions for primary anastomosis over emergency procedures is crucial.
    • An algorithmic approach can guide surgeons in managing these complex cases effectively.