Operative Behandlung der kolonischen Divertikulitis. Eigener Erfahrungsbericht

Abstract

Results of surgical management of 22 patients with complicated diverticular disease were studied retrospectively over 10-year period. Half of them were admitted to hospital as emergency cased mainly due to peritonitis. All patients with peritonitis were operated on urgently – Hartmann's procedure was performed in patients with diffuse purulent or stercoral peritonitis. Seven patients were operated on because of stenosing pericolic inflammatory mass or abscess and 4 patients were operated on as elective cases after at least 2 episodes of acute diverticulitis. Primary resection and anastomosis were performed in all patients without diffuse peritonitis. There was no mortality. Morbidity occurred in 7 (31.8%) patients – mainly wound infection. Anastomotic leakage occurred in 1 (7.7%) of 13 patients with primary anastomosis. Colostomy closure was performed in 5 (62.5%) of 8 patients after Hartmann's operation. Results are discussed on the base of recent literature.