UNIVERSI
TÄ
TS-
BIBLIOTHEK
P
ADERBORN
Anmelden
Menü
Menü
Start
Hilfe
Blog
Weitere Dienste
Neuerwerbungslisten
Fachsystematik Bücher
Erwerbungsvorschlag
Bestellung aus dem Magazin
Fernleihe
Einstellungen
Sprache
Deutsch
Deutsch
Englisch
Farbschema
Hell
Dunkel
Automatisch
Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist
gegebenenfalls
nur via VPN oder Shibboleth (DFN-AAI) möglich.
mehr Informationen...
Universitätsbibliothek
Katalog
Suche
Details
Zur Ergebnisliste
Ergebnis 3 von 5
Datensatz exportieren als...
BibTeX
Early experience with laparoscopic lavage for perforated diverticulitis
British journal of surgery, 2013-04, Vol.100 (5), p.704-710
Swank, H. A.
Mulder, I. M.
Hoofwijk, A. G. M.
Nienhuijs, S. W.
Lange, J. F.
Bemelman, W. A.
2013
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Swank, H. A.
Mulder, I. M.
Hoofwijk, A. G. M.
Nienhuijs, S. W.
Lange, J. F.
Bemelman, W. A.
Titel
Early experience with laparoscopic lavage for perforated diverticulitis
Ist Teil von
British journal of surgery, 2013-04, Vol.100 (5), p.704-710
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2013
Quelle
Wiley-Blackwell Journals
Beschreibungen/Notizen
Background Laparoscopic lavage has recently emerged as a promising alternative to sigmoid resection in the treatment of perforated diverticulitis. This study examined an early experience with this technique. Methods The files of all patients with complicated diverticulitis were searched in 34 teaching hospitals of the Netherlands. Patients with perforated diverticulitis treated with laparoscopic lavage between 1 January 2008 and 31 December 2010 were included. Results Treatment with laparoscopic lavage was performed in only 38 patients in ten hospitals. Lavage was successful in controlling sepsis in 31 of the 38 included patients, with 32 per cent morbidity (10 of 31 patients) and fast recovery. Overall, 17 of 38 patients developed complications, of whom two had a missed overt sigmoid perforation. Two patients died from multiple organ failure and one from aspiration pneumonia; one other patient died after palliative management of inoperable lung carcinoma. Three patients in whom lavage was successful underwent subsequent sigmoid resection for recurrent diverticulitis. Patients in whom lavage was unsuccessful tended to have more co‐morbidities, a higher preoperative C‐reactive protein concentration and a higher Mannheim Peritonitis Index. Conclusion Laparoscopic lavage for perforated diverticulitis was feasible in the majority of patients, but identification of an overt sigmoid perforation and patient selection are of critical importance. © 2013 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. Feasible in most patients
Sprache
Englisch
Identifikatoren
ISSN: 0007-1323
eISSN: 1365-2168
DOI: 10.1002/bjs.9063
Titel-ID: cdi_proquest_miscellaneous_1314706292
Format
–
Schlagworte
Adult
,
Aged
,
Diverticulitis, Colonic - therapy
,
Feasibility Studies
,
Female
,
Humans
,
Intestinal Perforation - therapy
,
Laparoscopy - methods
,
Length of Stay
,
Male
,
Middle Aged
,
Operative Time
,
Postoperative Complications - etiology
,
Second-Look Surgery
,
Therapeutic Irrigation - methods
,
Treatment Outcome
Weiterführende Literatur
Empfehlungen zum selben Thema automatisch vorgeschlagen von
bX