scholarly journals Cost-effectiveness of sigmoid resection with primary anastomosis or end colostomy for perforated diverticulitis: an analysis of the randomized Ladies trial

2020 ◽  
Author(s):  
D. P. V. Lambrichts ◽  
S. van Dieren ◽  
W. A. Bemelman ◽  
J. F. Lange
Keyword(s):  
Cost Effectiveness ◽  
Primary Anastomosis ◽  
Sigmoid Resection ◽  
Perforated Diverticulitis ◽  
End Colostomy

What are Rates of Sigmoid Resection with Primary Anastomosis and Diverting Loop Ileostomy Versus end Colostomy in the Real World? Results of a Colorectal Surgery Collaborative Audit

2017 ◽  
Vol 152 (5) ◽  
pp. S1227-S1228
Author(s):  
Christy E. Cauley ◽  
Ruchin Patel ◽  
Peter Fagenholz ◽  
Sadiqa Mahmood ◽  
David L. Berger ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Real World ◽  
Primary Anastomosis ◽  
Loop Ileostomy ◽  
Sigmoid Resection ◽  
The Real ◽  
End Colostomy ◽  
Diverting Loop Ileostomy

scholarly journals Left lower limb fasciitis due to sigmoid colonic perforated diverticulitis: a rare case of colocutaneous fistula

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Alice Rubartelli ◽  
Lorenzo Cocchi ◽  
Nicola Solari ◽  
Ferdinando Cafiero ◽  
Michele Minuto ◽  
...  
Keyword(s):  
Lower Limb ◽  
Primary Anastomosis ◽  
Acute Diverticulitis ◽  
Rare Event ◽  
Sigmoid Resection ◽  
Sigmoid Diverticulitis ◽  
Perforated Diverticulitis ◽  
Ileal Loop ◽  
Colocutaneous Fistula ◽  
Left Lower Limb

Abstract Up to 25% of patients with acute diverticulitis develop complicated disease. Colocutaneous fistula with lower limb fasciitis secondary to complicated diverticulitis is a rare event. A 71-year-old woman with Class 3 obesity and Type 2 diabetes was admitted to the hospital because of left lower limb fasciitis associated with acute sigmoid diverticulitis complicated by covered perforation. The fasciitis was treated with multiple fasciotomies, antibiotics and hyperbaric oxygen therapy. The patient was readmitted 25 days after discharge because of the formation of a left leg colocutaneous fistula associated with an enterocolic fistula. Patient underwent sigmoid resection with primary anastomosis and ileal loop repair. Three-month follow-up showed fistula healing and absence of symptoms. Fasciitis secondary to acute diverticulitis is a rare clinical scenario. Although our therapeutic strategy was successful, the optimal treatment timing and surgical technique for fasciotomy and colon resection remain to be assessed.

scholarly journals COLONIC CANCER

2016 ◽  
Vol 23 (03) ◽  
pp. 251-256
Author(s):  
Tajammal Abbas Shah
Keyword(s):  
Rectal Bleeding ◽  
Colonic Cancer ◽  
Primary Anastomosis ◽  
Abdominal Mass ◽  
Staging System ◽  
Sigmoid Resection ◽  
Tnm Staging ◽  
End Colostomy ◽  
A Prospective Study ◽  
Surgical Unit

A prospective study was conducted to see presentation and management of coloniccancer presenting to a surgical unit in a teaching hospital at Faisalabad. Objectives: To knowdifferent presenting symptomatology like abdominal mass, pain, intestinal obstruction, alteredbowel habits, rectal bleeding, age co-relation, sex distribution, anatomic location among coloniccancer patients and management done for these patients. Study Design: A prospective study.Period: February 2009 to March 2010 for one year. Material and Methods: Total 8 patients werediagnosed and treated for colonic cancer presenting in a single surgical ward. Patients with ageabove 14 years were included in study while patients presenting with trauma and metastaticdisease for other carcinoma were excluded. Results: Among 8 patients diagnosed for coloniccancer, age’s range from 26 to 50 years at maximum, 2 patients (25 %) were males and 6 patients(75 %) were females. Only one patient (12.5%) presented with single complaint of left iliac fossamass, 2 patients (25 %) with only single complaint of rectal bleeding as a presenting symptomwhile all other 5 patients (62.5%) presented with more than one or two symptoms at the sametime. Among 5 patients presented with more than one symptom all had presented with abdominalmass associated with additional symptoms like, one patient (12.5%) developed intestinalobstruction with left sided abdominal mass, another one patient (12.5%) left sided abdominalmass with alternate diarrhea and constipation, another one patient (12.5%) right sided masswith pallor, one patient (12.5%) had constipation with left sided mass while another one patient(12.5%) developed abdominal pain, weight loss and palpable left sided abdominal mass. Patientswere staged according to TNM staging system. All patients were above stage II and Dukes B. Allpatients were operated in Surgical Unit II at Allied Hospital Faisalabad. Left hemi-colectomy wasdone for 2 patients; right hemi-colectomy was done for single patient presented with mass andanemia on right side, sigmoid resection with colostomy for one patient, Hartmann’s procedurefor another one patient and single stage resection with primary anastomosis for one patient. 2patients underwent abdomino-perineal resection with end colostomy. Conclusion: This studytells that majority of the patients with colon cancer presented with left sided abdominal mass andother associated symptom, the age’s range from 26 to 50 years. Disease affected 6 females out oftotal 8 patients. Two patients underwent APR with end colostomy while other patients were treatedwith alternate procedures like primary anterior resection with anastomosis or end colostomy

Prospective study of primary anastomosis following sigmoid resection for suspected acute complicated diverticular disease

2001 ◽  
Vol 88 (5) ◽  
pp. 693-697 ◽  
Author(s):  
A. W. Gooszen ◽  
R. A. E. M. Tollenaar ◽  
R. H. Geelkerken ◽  
H. J. Smeets ◽  
W. A. Bemelman ◽  
...  
Keyword(s):  
Prospective Study ◽  
Diverticular Disease ◽  
Primary Anastomosis ◽  
Sigmoid Resection

scholarly journals Operative Management and Outcomes of Patients with Sigmoid Volvulus at a Tertiary Public Hospital in Malawi

2021 ◽  
Vol 18 (3) ◽  
pp. 176-179
Author(s):  
Ephraim Bitilinyu-Bangoh ◽  
Fatsani Mwale ◽  
Loveness Ulunji Chawinga ◽  
Gift Mulima
Keyword(s):  
Hospital Stay ◽  
Anastomotic Leakage ◽  
Primary Anastomosis ◽  
Length Of Hospital Stay ◽  
Operative Management ◽  
Sigmoid Resection ◽  
Sigmoid Volvulus ◽  
Hartmann’S Procedure ◽  
Hartmann's Procedure ◽  
Kamuzu Central Hospital

Background: Sigmoid Volvulus (SV) is a common cause of acute bowel obstruction in Malawi. We aimed to  describe the surgical  management of SV and its outcomes at Kamuzu Central Hospital, Lilongwe, Malawi. Methods: We retrospectively reviewed records from January 2019 to December 2019 of all SV patients, aged 18 years and above. Data  extracted included age, sex, admission date, surgery date, bowel viability at time of surgery, procedure done, suspected anastomotic leakage, length of hospital stay and mortality. The data was analyzed using STATA 14.0. Results: There were more males (n= 59, 81.9 %) than females. The median (IQR) age was 50.5 (38-60) years. A viable sigmoid colon was present in 61 (84.7%) patients. The commonest procedures done were sigmoid  resection and primary anastomosis (RPA) (59.7%, n=43) and Hartmann’s procedure (HP) (36.1%, n=26). The median length of hospital stay was 5 days in HP, 7 days in RPA and longest in  mesosigmoidopexy (10 days). Suspected anastomotic leakage occurred in 2(4.7%) patients. The overall mortality was 6.9% with all deaths occurring in RPA patients. Conclusion: Mortality is high in SV patients who undergo RPA. We recommend Hartmann’s procedure in cases where the bowel has  significant oedema or is gangrenous.

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