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Abstract
Various methods of management of perforative sigmoid diverticulitis with diffusing
peritonitis have been evaluated. It is suggested that the three-stage procedure with
initial drainage and proximal colostomy in common use today should be abandoned. Consideration
should be given only to procedures that eliminate the perforated loop of bowel from
the peritoneal cavity at the initial operation.
Twelve consecutive cases of acute perforative sigmoid diverticulitis with diffusing
peritonitis are presented in which the first stage consisted of exteriorization of
the perforated loop of sigmoid followed by subsequent partial left colectomy at a
five-or six-week interval. There were no deaths and very little morbidity. We believe
this to be the simplest, safest, and surest way of managing this complication of sigmoid
diverticulitis.
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References
- Generalized peritonitis complicating acute diverticulitis of the colon.New York J. Med. 1965; 65: 437
- Acute perforated diverticulitis of the sigmoid colon with generalized peritonitis.Arch. Surg. 1957; 74: 511
- Diverticulitis of the colon.Calif. West. Med. 1940; 52: 225
- Diverticulitis disease of the colon.Brit. J. Surg. 1960; 47: 485
- Surgical management of complicated diverticulitis.New Eng. J. Med. 1958; 259: 570
- Primary resection and anastomosis in management of perforation of diverticulitis of the sigmoid flexure and diffuse peritonitis.Dis. Colon Rectum. 1969; 12: 172
- Dangers of diverticulitis coli.Brit. J. Surg. 1964; 51: 45
- Surgical management of acute diverticulitis.Med. J. Aust. 1963; 1: 780
- Treatment of perforated diverticulitis.Lancet. 1964; 1: 413
- Primary resection and anastomosis in the treatment of perforated lesions of the colon.Amer. Surg. 1965; 31: 781
- Primary resection and anastomosis in the treatment of perforated lesions of the colon with abscess or diffusing peritonitis.Surg. Gynec. Obstet. 1961; 113: 646
- Surgical treatment of diverticulitis of the colon.Amer. Surg. 1969; 35: 203
- Surgical management of colonic diverticulitis with free perforation and abscess formation.Amer. J. Surg. 1969; 117: 265
- Acute diverticulitis and diverticulitis with perforation.Med. J. Aust. 1964; 51: 51
- Perforating diverticulitis with spreading peritonitis.Amer. J. Surg. 1966; 111: 431
- Diverticulitis coli.Brit. Med. J. 1962; 5282: 916
- Management of perforative sigmoid diverticulitis with diffusing peritonitis.Arch. Surg. 1966; 92: 928
Article info
Publication history
Accepted:
February 28,
1970
Identification
Copyright
© 1971 Published by Elsevier Inc.
