Il trattamento chirurgico della diverticolite complicata del colon

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DIVERTICULITIS OF THE COLON. SURGICAL TREATMENT. During the last 2 decade were observed 422 patients with various degree of diverticular disease of the colon, all of whom were symptomatic. 51 patients underwent surgery : 29 for stenosis or oclusion (24 e 5), 4 for fistulas, 18 for perforation. The operations, 26 of which were emergencies while 25 were elective, included:21cases of one-stage resection and anastomosisi without protective colostomy, 16 with colostomy, 8 Hartmann's procedures, 7 Mikulicz's operations, 1 suturing of the diverticulum with colostomy. The incidence of complications was 17,6% 9 cases, 7 following emergency surgery and 2 after elective procedures). The intraoperative mortality was zero, while postoperatively it was 5,8% (3 cases, 2 after emergency procedures and 1 following elective surgery). The best results (lowest morbility and mortality rates) occurred with the radical procedures, especially the resection-anastomosis with or without colostomy, which allowed the removal of the septic focus from the peritoneal cavity and thus a rapid recovery in a high number of cases.

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