Hartmanns Procedure or Primary Anastomosis?
نویسندگان
چکیده
منابع مشابه
Hartmann's procedure or primary anastomosis?
Perforation following acute diverticulitis is a typical scenario during the first attack. Different classification systems exist to classify acute perforated diverticulitis. While the Hinchey classification, which is based on intraoperative findings, is internationally best known, the German Hansen-Stock classification which is based on CT scan is widely accepted within Germany. When surgery is...
متن کاملNon-Elective Surgery for Acute Complicated Diverticulitis. Primary Resection-Anastomosis or Hartmann’s Procedure? A Systematic Review and Meta-Analysis
Colonic diverticulosis is a common condition in the Western world and its incidence increases substantially with age. It was estimated that in patients older than age 60 years, 50% have diverticulosis [1,2]. Surgeons’ interest for this disease is related to the treatment of the complications of diverticulitis (perforation, occlusion, bleeding). About 25% of patients hospitalized for diverticuli...
متن کاملThe ladies trial: laparoscopic peritoneal lavage or resection for purulent peritonitis and Hartmann’s procedure or resection with primary anastomosis for purulent or faecal peritonitis in perforated diverticulitis (NTR2037)
Background: Recently, excellent results are reported on laparoscopic lavage in patients with purulent perforated diverticulitis as an alternative for sigmoidectomy and ostomy. The objective of this study is to determine whether LaparOscopic LAvage and drainage is a safe and effective treatment for patients with purulent peritonitis (LOLA-arm) and to determine the optimal resectional strategy in...
متن کاملThe 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)
BACKGROUND Recently, excellent results are reported on laparoscopic lavage in patients with purulent perforated diverticulitis as an alternative for sigmoidectomy and ostomy.The objective of this study is to determine whether LaparOscopic LAvage and drainage is a safe and effective treatment for patients with purulent peritonitis (LOLA-arm) and to determine the optimal resectional strategy in p...
متن کاملPrimary anastomosis vs Hartmann procedure in acute complicated diverticulitis. Evolution over the last twenty years.
BACKGROUND/AIMS Aim of this review is to assess the role and indications for primary sigmoidectomy with direct anastomosis for diverticulitis comparing it with the Hartmann's procedures. METHODS A literature search was performed using MEDLINE (PubMed), Google Scholar and The Cochrane Library and the articles from January 1990 until June 2011 were analyzed. All patients were divided into three...
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ژورنال
عنوان ژورنال: Digestive Diseases
سال: 2012
ISSN: 1421-9875,0257-2753
DOI: 10.1159/000335726