Sigmoid resection with primary anastomosis and ileostomy versus laparoscopic lavage in purulent peritonitis from perforated diverticulitis: outcome analysis in a prospective cohort of 40 consecutive patients

2016 ◽  
Vol 31 (10) ◽  
pp. 1693-1699 ◽  
Author(s):  
Jonathan Catry ◽  
Antoine Brouquet ◽  
Frédérique Peschaud ◽  
Karina Vychnevskaia ◽  
Solafah Abdalla ◽  
...  
Keyword(s):  
Prospective Cohort ◽  
Primary Anastomosis ◽  
Sigmoid Resection ◽  
Perforated Diverticulitis ◽  
Outcome Analysis ◽  
Laparoscopic Lavage ◽  
Purulent Peritonitis

Surgical Treatment of Diverticulitis

2019 ◽  
Author(s):  
Tiffany K Weidner ◽  
John T Kidwell ◽  
David A Etzioni
Keyword(s):  
Surgical Treatment ◽  
Diverticular Disease ◽  
Primary Anastomosis ◽  
Acute Diverticulitis ◽  
Sigmoid Resection ◽  
Hartmann Procedure ◽  
Laparoscopic Lavage ◽  
Uncomplicated Diverticulitis ◽  
Recurrent Diverticulitis ◽  
Purulent Peritonitis

Surgical evaluation and treatment is commonly required for the treatment of diverticulitis in both the acute and elective situations. This chapter discusses the surgical treatment of the clinically important manifestations of diverticular disease. Different options for surgical treatment are described for patients in both the urgent and elective settings, including technical aspects of these options. Current controversies are reviewed, including resection versus laparoscopic lavage for the treatment of purulent peritonitis, the use of gastrointestinal diversion in the surgical treatment of acute diverticulitis, and timing of operation for recurrent diverticulitis.  This review contains 8 figures, 4 tables, and 67 references. Key Words: acute diverticulitis, complicated diverticulitis, diverticular disease, diverticulitis, diverticulosis, Hartmann procedure, laparoscopic lavage, sigmoid resection with primary anastomosis, uncomplicated diverticulitis

Laparoscopic Lavage for Perforated Diverticulitis With Purulent Peritonitis

2016 ◽  
Vol 164 (3) ◽  
pp. 137 ◽  
Author(s):  
Anders Thornell ◽  
Eva Angenete ◽  
Thue Bisgaard ◽  
David Bock ◽  
Jakob Burcharth ◽  
...  
Keyword(s):  
Perforated Diverticulitis ◽  
Laparoscopic Lavage ◽  
Purulent Peritonitis

scholarly journals Laparoscopic Lavage in the Management of Hinchey III/IV Diverticulitis

2021 ◽  
Vol 34 (02) ◽  
pp. 104-112
Author(s):  
Maria X. Kiely ◽  
Mengdi Yao ◽  
Lilian Chen
Keyword(s):  
Peritoneal Lavage ◽  
Mortality Rates ◽  
Perforated Diverticulitis ◽  
Local Inflammation ◽  
Major Morbidity ◽  
Laparoscopic Lavage ◽  
Laparoscopic Peritoneal Lavage ◽  
Purulent Peritonitis ◽  
Bowel Continuity ◽  
Emergency Resection

AbstractDiverticulitis manifestations may cover a spectrum of mild local inflammation to diffuse feculent peritonitis. Up to 35% of patients presenting with diverticulitis will have purulent (Hinchey grade III) or feculent (Hinchey grade IV) contamination of the abdomen, with a high-associated morbidity and mortality. Surgical management may involve segmental resection with or without restoration of bowel continuity. However, emergency resection for diverticulitis can be associated with high mortality rates, as well as low stoma reversal rates at 1 year. Therefore, laparoscopic peritoneal lavage has been proposed for use in selected patients with purulent peritonitis. The topic of laparoscopic peritoneal lavage for the treatment of perforated diverticulitis in the literature has been controversial. Our review of the recent data show that laparoscopic lavage may be safe and feasible in select patients with similar rates of mortality and major morbidity. There is, however, a concern regarding an associated higher rate of postoperative abscess and early reintervention risk.

scholarly journals Revisión de: Laparoscopic Lavage Is Feasible and Safe for the Treatment of Perforated Diverticulitis With Purulent Peritonitis. The First Results From the Randomized Controlled Trial

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Salvador Guillaumes
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Perforated Diverticulitis ◽  
Laparoscopic Lavage ◽  
Randomized Controlled ◽  
Purulent Peritonitis ◽  
First Results ◽  
Para Determinar

El objetivo de esta sección no es el comentar o revisar estudios de rabiosa actualidad. Mostramos  los ejercicios de lectura crítica que realizamos a lo largo del curso en el Master de Coloproctología de la Universidad de Zaragoza, con el objetivo es diseminar los hábitos de lectura crítica. La  idea que queremos transmitir es que "no es sensato leer crédulamente la evidencia publicada y, en consecuencia, la lectura crítica de la evidencia emerge como una habilidad básica para la clínica del siglo XXI" (1). A lo largo del año, publicaremos diferentes ejercicios, realizados por los alumnos del master, priorizando, dentro de lo posible, temas controvertidos de coloproctología. En las lecturas utilizaremos, en general, plantillas CASPe (2) y la metodología GRADE (3,4), para determinar la calidad de la evidencia y la fuerza de la recomendación que se puede realizar en base al estudio analizado.

scholarly journals Laparoscopic Lavage Is Feasible and Safe for the Treatment of Perforated Diverticulitis With Purulent Peritonitis

2016 ◽  
Vol 263 (1) ◽  
pp. 117-122 ◽  
Author(s):  
Eva Angenete ◽  
Anders Thornell ◽  
Jakob Burcharth ◽  
Hans-Christian Pommergaard ◽  
Stefan Skullman ◽  
...  
Keyword(s):  
Perforated Diverticulitis ◽  
Laparoscopic Lavage ◽  
Purulent Peritonitis

Laparoscopic Lavage Is Feasible and Safe for the Treatment of Perforated Diverticulitis With Purulent Peritonitis

2017 ◽  
Vol 265 (5) ◽  
pp. e66-e67 ◽  
Author(s):  
Cecilia Ponzano ◽  
Cristiano Germano Sigismondo Hüscher ◽  
Diletta Overi
Keyword(s):  
Perforated Diverticulitis ◽  
Laparoscopic Lavage ◽  
Purulent Peritonitis

scholarly journals LAPAROSCOPIC PERITONEAL LAVAGE IN TREATMENT OF PURULENT AND FECAL PERITONITIS AS COMPLICATIONS OF THE COLONIC DIVERTICULAR DISEASE

2020 ◽  
pp. 51-53
Author(s):  
M. A. Kashtalian ◽  
O. B. Tymchuk ◽  
I. P. Kurachenko
Keyword(s):  
Peritoneal Lavage ◽  
Bowel Resection ◽  
Primary Anastomosis ◽  
Laparoscopic Approach ◽  
Perforated Diverticulitis ◽  
Early Recovery ◽  
Research Results ◽  
Laparoscopic Peritoneal Lavage ◽  
Purulent Peritonitis ◽  
Colonic Diverticular Disease

Summary. The incidence of diverticular colon disease has increased significantly. Complications are found in 40-42 % of patients, the frequency of perforation of the diverticulum is about 3.3 %. Materials and methods. The article presents the results of the treatment of 129 patients who were operated on for peritonitis complicated forms of diverticular colon disease . Research results. The study found that surgical treatment of patients with complication in the Hinchey III-IV stage is best performed by the method of laparoscopic peritoneal lavage. Discussion of research results. The laparoscopic approach has demonstrated a number of advantages: a smaller wound size, a shorter period of disability, an early recovery of enteral nutrition, and a shorter hospital stay. Conclusions. Performing laparoscopic peritoneal lavage in patients with perforated diverticulitis complicated by purulent peritonitis is an alternative to Hartmann surgery or bowel resection with primary anastomosis.

scholarly journals Cost analysis of laparoscopic lavage compared with sigmoid resection for perforated diverticulitis in the Ladies trial

2016 ◽  
Vol 104 (1) ◽  
pp. 62-68 ◽  
Author(s):  
S. Vennix ◽  
S. van Dieren ◽  
B. C. Opmeer ◽  
J. F. Lange ◽  
W. A. Bemelman
Keyword(s):  
Cost Analysis ◽  
Sigmoid Resection ◽  
Perforated Diverticulitis ◽  
Laparoscopic Lavage
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