DEFERRED SURGERY FOR DIVERTICULITIS OF THE COLON IN ONE HOSPITALIZATION
https://doi.org/10.24884/2072-6716-2018-19-4-51-58
Abstract
From 2011 to 2015, in the Alexander hospital, enrolled 656 patients with diverticular disease of the colon. 23 (3.5%) people were admitted as planned, in an emergency 633 (96.5%). Diverticulitis was detected in 504 (79.6%) patients. Of these, 124 (24.6%) were operated on urgently. Primary laparoscopy was performed in 73 (58.9%) patients, 24 (32.9%) of them were operated on in a delayed manner. 380 (75.4%) patients received conservative therapy, 16 of them (4.2%) after relief of acute diverticulitis were also operated on in a delayed manner. 23 patients were operated on as planned for diverticular colon disease. During the study, two equal groups of patients were formed. The results of treatment of patients with delayed surgical interventions (n=40) and planned operations (n=23) were compared. The duration of treatment, the frequency of complications and the number of observations were analyzed, when it was possible to complete a radical treatment without colostomy. According to the results of the study, we concluded that the implementation of delayed operations in diverticulitis of the colon allows to perform radical treatment during one hospitalization. At the same time, the results of delayed interventions are comparable to the results of planned operations with uncomplicated diverticulosis.
About the Authors
E. G. Topuzov
North-Western State Medical University named after I. I. Mechnikov, St. Petersburg
Russian Federation
Russian Federation
M. A. Abdulaev
Alexander Municipal Hospital, St. Petersburg;
North-Western State Medical University named after I. I. Mechnikov, St. Petersburg
Russian Federation
Russian Federation
A. M. Avdeev
Alexander Municipal Hospital, St. Petersburg
Russian Federation
Russian Federation
E. E. Topuzov
North-Western State Medical University named after I. I. Mechnikov, St. Petersburg
Russian Federation
Russian Federation
E. A. Erokhina
North-Western State Medical University named after I. I. Mechnikov, St. Petersburg
Russian Federation
Russian Federation
M. T. Afak
North-Western State Medical University named after I. I. Mechnikov, St. Petersburg
Russian Federation
Russian Federation
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Review
For citations:
Topuzov E.G., Abdulaev M.A., Avdeev A.M., Topuzov E.E., Erokhina E.A., Afak M.T. DEFERRED SURGERY FOR DIVERTICULITIS OF THE COLON IN ONE HOSPITALIZATION. EMERGENCY MEDICAL CARE. 2018;19(4):51-58. (In Russ.) https://doi.org/10.24884/2072-6716-2018-19-4-51-58
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