Reappraisal of the surgical treatment of diverticulitis of the sigmoid colon

Boyden, Allen M.; Neilson, Robert O.

doi:10.1016/0002-9610(60)90293-2

Cited by 37 publications

(26 citation statements)

References 8 publications

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“…In developing countries, poor nutrition and problems with the unreliable supply of stoma collecting appliances (i.e. colostomy bags) is a very tempting reason for its earlyClosure (9). The aim of our study was to determine, stoma complicationprevention and treatment.…”

Section: Introductionmentioning

confidence: 99%

The Prevention and Treatment of Stoma Complications. A Report of 152 Cases

Uddin¹,

Ullah²,

Iqbal³

et al. 2017

IOSR JDMS

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Section: Introductionmentioning

confidence: 99%

The Prevention and Treatment of Stoma Complications. A Report of 152 Cases

Uddin¹,

Ullah²,

Iqbal³

et al. 2017

IOSR JDMS

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“…Primary resection of the left colon with immediate anastomosis as an emergency has been sporadically reported since 1950 (16). Mortality ranges between 6.6% and 50% and most are due to anastomotic leakage (17)(18)(19)(20). Faecal loading of the obstructed colon is one of the most important factors contributing to anastomotic leakage(1-3).…”

Section: Discussionmentioning

confidence: 99%

Intraoperative colonic irrigation in the management of left sided large bowel emergecies in Jos University Teaching Hospital, Nigeria

Sule

Po²,

Iya³

et al. 2009

E Af Med Jrnl

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Objectives: To evaluate the safety and benefits of antegrade intraoperative colonic irrigation (lavage) and primary anastomosis, after colonic resection, in the treatment of left sided large bowel emergencies. Design: A prospective descriptive study. Setting: Jos University Teaching Hospital, Jos, Nigeria. Participants: Thirty seven patients with an average age of 44.86 ± 16.15 years. Intervention: Sigmoid colectomy was performed in twenty two sigmoid volvulus, five sigmoid cancer, two faecal fistulae and one sigmoid injury. Left hemicolectomy was offered in four descending colon cancer, one descending colon injury, while anterior resection was carried out in two rectal cancers. Primary anastomosis was performed after intraoperative colonic lavage. Results: The operative mortality was 2.7%, anastomotic leakage rate 2.7% and superficial wound infection occurred in 10.81%. The average duration of hospital stay was 22.76 ± 11.26 days. Intraoperative colonic lavage added 35.79 ± 7.25 minutes to the operating time. Conclusion:The results of this study suggest that intraoperative colonic lavage is an effective method enabling the surgeon to perform a primary anastomosis with reasonable safety after emergency resection of selected distal colonic lesions.

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“…The initial technique never considered the restoration of the intestinal tract continuity. Through time the technique has seen some changes; Boyden et al showed late results with the closure of the colostomy [2]. Anderson et al were the first to describe a laparoscopically assisted colostomy closure [3].…”

Section: Introductionmentioning

confidence: 99%