Open AccessDIVERTICULAR DISEASE: FROM TRADITION TO INNOVATION
Author(s) -
O.F. Vorontsov,
V. V Tolochyki,
I.V. Mikhin,
A. V. Kitaeva,
Christian Graeb
Publication year - 2020
Publication title -
vestnik volgogradskogo gosudarstvennogo medicinskogo universiteta
Language(s) - English
Resource type - Journals
eISSN - 1994-9499
pISSN - 1994-9480
DOI - 10.19163/1994-9480-2020-4(76)-92-95
Subject(s) - medicine , diverticular disease , diverticulitis , perforation , perioperative , anastomosis , sigmoid colon , surgery , general surgery , colonoscopy , colorectal cancer , rectum , materials science , punching , metallurgy , cancer
This article presents current data from the world medical literature and a five-year study of surgical clinic on the effect of perioperative intestinal decontamination in patients with acute complicated diverticulitis on the frequency of postoperative complications after elective resection of the sigmoid colon and the formation of primary colorectal anastomosis. The possibility of selective perioperative intestinal decontamination in patients with acute sigmoid diverticulitis complicated by covered perforation, the number of postoperative surgical and general complications was observed. The used scheme of topical antibacterial sanitation, along with orthograde intestinal cleansing with osmolar solutions, significantly reduced the frequency of insufficiency of colectal anastomoses, surgical (abdominal) and the total number of postoperative complications.