Perforated Diverticulitis with Generalized Peritonitis: Low Stoma Rate Using a “Damage Control Strategy” View Full Text


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Article Info

DATE

2018-03-14

AUTHORS

Maximilian Sohn, I. Iesalnieks, A. Agha, P. Steiner, A. Hochrein, J. Pratschke, P. Ritschl, F. Aigner

ABSTRACT

PurposeOptimal surgical management of perforated diverticulitis of the sigmoid colon has yet to be clearly defined. The purpose of this study was to evaluate efficacy of a “Damage Control Strategy” (DCS).Materials and methodsPatients with perforated diverticulitis of the sigmoid colon complicated by generalized peritonitis (Hinchey III and IV) surgically treated according to a damage control strategy between May 2011 and February 2017 were enrolled in the present multicenter retrospective cohort study. Data were collected at three surgical centers. DCS comprises a two-stage concept: [1] limited resection of the perforated colon segment with oral and aboral blind closure during the emergency procedure and [2] definitive reconstruction at scheduled second laparotomy (anastomosis ∓ loop ileostomy or a Hartmann’s procedure) after 24–48 h.ResultsFifty-eight patients were included into the analysis [W:M 28:30, median age 70.1 years (30–92)]. Eleven patients (19%) initially presented with fecal peritonitis (Hinchey IV) and 47 patients with purulent peritonitis (Hinchey III). An anastomosis could be created during the second procedure in 48 patients (83%), 14 of those received an additional loop ileostomy. In the remaining ten patients (n = 17%), an end colostomy was created at second laparotomy. A fecal diversion was performed in five patients to treat anastomotic complications. Thus, altogether, 29 patients (50%) had stoma at the end of the hospital stay. The postoperative mortality was 9% (n = 5), and median postoperative hospital stay was 18.5 days (3–66). At the end of the follow-up, 44 of 53 surviving patients were stoma free (83%).ConclusionThe use of the Damage Control strategy leads to a comparatively low stoma rate in patients suffering from perforated diverticulitis with generalized peritonitis. More... »

PAGES

3189-3195

References to SciGraph publications

  • 2010-02-11. Damage control with abdominal vacuum therapy (VAC) to manage perforated diverticulitis with advanced generalized peritonitis—a proof of concept in INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
  • 2010-10-18. The ladies trial: laparoscopic peritoneal lavage or resection for purulent peritonitisA and Hartmann's procedure or resection with primary anastomosis for purulent or faecal peritonitisB in perforated diverticulitis (NTR2037) in BMC SURGERY
  • 2011-01-26. Sepsis in INTENSIVMEDIZIN UND NOTFALLMEDIZIN
  • 2016-07-25. Leitliniengerechte Therapie der Divertikulitis in COLOPROCTOLOGY
  • 2016-07-22. Damage control strategy for the treatment of perforated diverticulitis with generalized peritonitis in TECHNIQUES IN COLOPROCTOLOGY
  • 2012-12-15. Treatment of Hinchey stage III–IV diverticulitis: a systematic review and meta-analysis in INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
  • 2012-07-28. Damage Control Surgery with Abdominal Vacuum and Delayed Bowel Reconstruction in Patients with Perforated Diverticulitis Hinchey III/IV in JOURNAL OF GASTROINTESTINAL SURGERY
  • 2010-02-02. Avoiding or Reversing Hartmann’s Procedure Provides Improved Quality of Life After Perforated Diverticulitis in JOURNAL OF GASTROINTESTINAL SURGERY
  • 2011-09-17. Review of current classifications for diverticular disease and a translation into clinical practice in INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
  • 1994-11. Prognosescores bei peritonitis: Mannhehner peritonitis-index oder APACHE II ? in LANGENBECK'S ARCHIVES OF SURGERY
  • 2014-03-07. Divertikelkrankheit – operative Verfahrenswahl in DER CHIRURG
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00268-018-4585-y

    DOI

    http://dx.doi.org/10.1007/s00268-018-4585-y

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1101530969

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29541823


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    37 schema:description PurposeOptimal surgical management of perforated diverticulitis of the sigmoid colon has yet to be clearly defined. The purpose of this study was to evaluate efficacy of a “Damage Control Strategy” (DCS).Materials and methodsPatients with perforated diverticulitis of the sigmoid colon complicated by generalized peritonitis (Hinchey III and IV) surgically treated according to a damage control strategy between May 2011 and February 2017 were enrolled in the present multicenter retrospective cohort study. Data were collected at three surgical centers. DCS comprises a two-stage concept: [1] limited resection of the perforated colon segment with oral and aboral blind closure during the emergency procedure and [2] definitive reconstruction at scheduled second laparotomy (anastomosis ∓ loop ileostomy or a Hartmann’s procedure) after 24–48 h.ResultsFifty-eight patients were included into the analysis [W:M 28:30, median age 70.1 years (30–92)]. Eleven patients (19%) initially presented with fecal peritonitis (Hinchey IV) and 47 patients with purulent peritonitis (Hinchey III). An anastomosis could be created during the second procedure in 48 patients (83%), 14 of those received an additional loop ileostomy. In the remaining ten patients (n = 17%), an end colostomy was created at second laparotomy. A fecal diversion was performed in five patients to treat anastomotic complications. Thus, altogether, 29 patients (50%) had stoma at the end of the hospital stay. The postoperative mortality was 9% (n = 5), and median postoperative hospital stay was 18.5 days (3–66). At the end of the follow-up, 44 of 53 surviving patients were stoma free (83%).ConclusionThe use of the Damage Control strategy leads to a comparatively low stoma rate in patients suffering from perforated diverticulitis with generalized peritonitis.
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    45 ResultsFifty-eight patients
    46 analysis
    47 anastomosis
    48 anastomotic complications
    49 center
    50 closure
    51 cohort study
    52 colon
    53 colon segments
    54 colostomy
    55 complications
    56 concept
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