Surgical management of complications of diverticulitis in patients over seventy years of age

1969 ◽  
Vol 117 (2) ◽  
pp. 270-276 ◽  
Author(s):  
William F. Mitty ◽  
David Befeler ◽  
Carlo Grossi ◽  
Louis M. Rousselot
Keyword(s):  
Surgical Management ◽  
Management Of Complications ◽  
Complications Of Diverticulitis

Surgical Management of Complications after Hearing Aid Fitting

2004 ◽  
Vol 114 (2) ◽  
pp. 317-322 ◽  
Author(s):  
Darius Kohan ◽  
Alexander Sorin ◽  
Stephen Marra ◽  
Marc Gottlieb ◽  
Ronald Hoffman
Keyword(s):  
Surgical Management ◽  
Hearing Aid ◽  
Hearing Aid Fitting ◽  
Management Of Complications

Surgical Management of Complications of Fiberoptic Colonoscopy

1991 ◽  
Vol 1 (4) ◽  
pp. 236???239 ◽  
Author(s):  
Robert E. Miller ◽  
Peter M. Bossart ◽  
Howard I. Tiszenkel ◽  
Fred M. Kimmelstiel
Keyword(s):  
Surgical Management ◽  
Management Of Complications ◽  
Fiberoptic Colonoscopy

Is Primary Anastomosis Safe in the Surgical Management of Complications of Acute Diverticulitis?

2007 ◽  
Vol 73 (8) ◽  
pp. 787-791 ◽  
Author(s):  
Michael J. Stumpf ◽  
Fausto Y. Vinces ◽  
Joseph Edwards
Keyword(s):  
Surgical Management ◽  
Primary Anastomosis ◽  
Acute Diverticulitis ◽  
Statistical Significance ◽  
Low Risk ◽  
Apache Ii Score ◽  
Past Century ◽  
Management Of Complications ◽  
Diseased Segment ◽  
Risk Patients

The purpose of this article is to determine whether primary anastomosis is a safe option in the surgical management of complications of acute diverticulitis in low-risk patients. Over the past century, the management of diverticulitis has evolved from a three-stage procedure to resection and primary anastomosis. In the beginning of the century, Mayo described drainage and proximal colostomy, a three-stage procedure. This was done by performing a diverting colostomy but leaving the diseased segment of colon, hoping that the inflammation would subside. Later, the patient went back for resection of the diseased segment. Then a third procedure was performed for reversal of the colostomy. Around the late 1970s to early 1980s, it was found that patients had better outcomes if the diseased segment was resected during the first operation–the Hartman procedure. During the late 1990s to early 2000s, some surgeons began performing resection and primary anastomosis in selected groups of patients with diverticulitis. There have been a number of studies published showing that resection and primary anastomosis has an acceptable morbidity and mortality. However, most of these studies are retrospective and do not achieve statistical significance. They also do not attempt to establish guidelines to help decide which patients are good candidates for resection and primary anastomosis. The goal of this study is to establish safe and reasonable practice guidelines that can be applied to a selected group of (low-risk) patients. This study is a retrospective review of all the patients treated surgically for complications of acute diverticulitis from 1998 to 2003 at United Hospital Medical Center in Port Chester, New York. Patients were classified as high or low risk based on their age, APACHE II score, American Society of Anesthesiologists class, and Hinchey score. There were a total of 66 patients operated on for complications of acute diverticulitis (left-sided) over this 5-year period. Thirty-six of them underwent resection and primary anastomosis and 30 underwent the Hartman procedure. Of the 36 who underwent resection and primary anastomosis, 19 were considered low risk. There were no complications in this low-risk group who underwent primary anastomosis. Patients who were low risk based on the mentioned criteria can safely undergo resection and primary anastomosis.

scholarly journals Surgical Management of Complications to Arterial Puncture

1966 ◽  
Vol 164 (6) ◽  
pp. 1021-1026 ◽  
Author(s):  
S. -E. BERGENTZ ◽  
L. O. HAXSSON ◽  
B. NORBACK
Keyword(s):  
Surgical Management ◽  
Arterial Puncture ◽  
Management Of Complications

The surgical management of complications of vulval lichen sclerosus

2012 ◽  
Vol 162 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Mahalakshmi Gurumurthy ◽  
Nneka Morah ◽  
Giorgio Gioffre ◽  
Margaret E. Cruickshank
Keyword(s):  
Surgical Management ◽  
Lichen Sclerosus ◽  
Management Of Complications

Surgical management of complications of radiation-injured gut

1977 ◽  
Vol 133 (5) ◽  
pp. 551-553 ◽  
Author(s):  
Albert E. Cram ◽  
Nathan W. Pearlman ◽  
Peter R. Jochimsen
Keyword(s):  
Surgical Management ◽  
Management Of Complications
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