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  • Title: [Procedure in perforated diverticulitis of the sigmoid colon (author's transl)].
    Author: Haiden G, Schima E.
    Journal: Zentralbl Chir; 1980; 105(10):652-5. PubMed ID: 7456816.
    Abstract:
    Operation in three stages with primary defunctioning colostomy and drainage of the perforation is the procedure mostly recommended in literature, although the mortality rate ranges from 33 to 75%. Therefore, we prefer the immediate resection of the perforated bowel with primary anastomosis, or if possible, in poor risk cases Hartmann's procedure respectively. Anastomosis should be protected by a defunctioning colostomy in all but exceptional good cases. 2 of our 18 patients died, only 1 of 15 (7%) with primary bowel resection.
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