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  • Title: [Change in the surgical strategy in acute and complicated colonic diverticulitis].
    Author: Buttenschön K, Büchler M, Vasilescu C, Beger HG.
    Journal: Chirurg; 1995 May; 66(5):487-92. PubMed ID: 7607011.
    Abstract:
    The records of 312 patients with acute colonic diverticulitis were reviewed. 129 patients required an operation. The operative management is presented and compared to the international literature. One-stage resection was performed in 79% of all patients. In 84% of patients with a localized inflammation a one-stage resection was possible. Fifty-seven percent of patients with peritonitis due to colonic perforation required a multiple stage procedure. In 70% the preferred surgical procedure of multiple stage treatment was Hartmann's operation. These therapeutical regimens are current standard. Lethality was 1.6% for all 129 patients and the postoperative morbidity was 22%.
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