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

Laparoscopic Lavage vs Primary Resection for Perforated Diverticulitis—Reply

JAMA ◽  
2016 ◽  
Vol 315 (10) ◽  
pp. 1053
Author(s):  
Johannes Kurt Schultz ◽  
Sheraz Yaqub ◽  
Tom Øresland
Keyword(s):  
Primary Resection ◽  
Perforated Diverticulitis ◽  
Laparoscopic Lavage

scholarly journals Two-year results of the randomized clinical trial DILALA comparing laparoscopic lavage with resection as treatment for perforated diverticulitis

2018 ◽  
Vol 105 (9) ◽  
pp. 1128-1134 ◽  
Author(s):  
A. Kohl ◽  
J. Rosenberg ◽  
D. Bock ◽  
T. Bisgaard ◽  
S. Skullman ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Perforated Diverticulitis ◽  
Laparoscopic Lavage

Laparoscopic Lavage Versus Primary Resection for Acute Perforated Diverticulitis

2018 ◽  
Vol 267 (2) ◽  
pp. 252-258 ◽  
Author(s):  
Marta Penna ◽  
Sheraz R. Markar ◽  
Hugh Mackenzie ◽  
Roel Hompes ◽  
Chris Cunningham
Keyword(s):  
Primary Resection ◽  
Perforated Diverticulitis ◽  
Laparoscopic Lavage

scholarly journals Laparoscopic Lavage vs Primary Resection for Acute Perforated Diverticulitis

JAMA ◽  
2015 ◽  
Vol 314 (13) ◽  
pp. 1364 ◽  
Author(s):  
Johannes Kurt Schultz ◽  
Sheraz Yaqub ◽  
Conny Wallon ◽  
Ljiljana Blecic ◽  
Håvard Mjørud Forsmo ◽  
...  
Keyword(s):  
Primary Resection ◽  
Perforated Diverticulitis ◽  
Laparoscopic Lavage
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