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Abstract
During the last twenty years, 294 patients have been operated on at the Lahey Clinic
for diverticulitis. The indications for surgery were perforation, obstruction, fistula,
recurrent attacks of the disease, and occasionally the inability to rule out carcinoma.
Of this group, 61.2 per cent had one stage resection. There were seven deaths and
the over-all mortality was 2.38 per cent. The mortality for 180 patients who had primary
one stage resection was 1.6 per cent. There were no deaths in the fifty-seven patients
who had a three stage resection. This mortality is reasonable, but it could have been
less. Much of the remaining morbidity associated with the surgical treatment of diverticulitis
is caused not by the too frequent use of a three stage procedure but by complications
occurring after one stage resection for patients with perforation or obstruction.
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References
- Appraisal of resection of colon for diverticulitis of sigmoid colon.Ann. Surg. 1953; 138: 332
- Diverticulitis and carcinoma of the colon; differential diagnosis.Surg. Gynec. & Obst. 1954; 99: 627
- Recent experiences in the surgical treatment of diverticulitis.Surg. Gynec. & Obst. 1965; 121: 63
- Surgical management of complicated diverticulitis.New England J. Med. 1958; 259: 570
- Primary resection of the colon for perforated diverticulum.Am. J. Surg. 1966; 112: 273
- Treatment of perforated lesions of the colon by primary resection and anastomosis.Dis. Colon & Rectum. 1966; 9: 413
- Management of perforative sigmoid diverticulitis with diffusing peritonitis.Arch. Surg. 1966; 92: 928
- Two stage resection of the colon.Surg. Gynec. & Obst. 1967; 124: 1081
- Surgical management of colonic diverticulitis.Arch. Surg. 1967; 94: 619
Article info
Footnotes
☆Presented at the Eighth Annual Meeting of the Society for Surgery of the Alimentary Tract, Atlantic City, New Jersey, June 17 and 18, 1967.
Identification
Copyright
© 1968 Published by Elsevier Inc.