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Laparoscopic lavage for perforated diverticulitis in the LapLav study: population-based registry study.
Samuelsson, A; Bock, D; Prytz, M; Block, M; Ehrencrona, C; Wedin, A; Ahlstedt, M; Angenete, E; Haglind, E.
Afiliación
  • Samuelsson A; Department of Surgery, Region Västra Götaland, NU-Hospital Group, Trollhättan, Sweden.
  • Bock D; Department of Research and Development, NU-Hospital Group, Trollhättan, Sweden.
  • Prytz M; Department of Surgery, Scandinavian Surgical Outcomes Research Group, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
  • Block M; Department of Surgery, Scandinavian Surgical Outcomes Research Group, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
  • Ehrencrona C; Department of Surgery, Region Västra Götaland, NU-Hospital Group, Trollhättan, Sweden.
  • Wedin A; Department of Research and Development, NU-Hospital Group, Trollhättan, Sweden.
  • Ahlstedt M; Department of Surgery, Scandinavian Surgical Outcomes Research Group, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
  • Angenete E; Department of Surgery, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.
  • Haglind E; Department of Surgery, Scandinavian Surgical Outcomes Research Group, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Br J Surg ; 108(10): 1236-1242, 2021 10 23.
Article en En | MEDLINE | ID: mdl-34148084
Diverticulitis comprises inflammation in pouches (diverticula) of the large intestine. In the most severe instances, this inflammation can cause perforation of the bowel with purulent or faecal peritonitis. If this happens, surgery is needed. The traditional method has been resection of the inflamed bowel with a stoma. A new technique has been proposed whereby the abdomen is rinsed with saline laparoscopically and a drain is placed (laparoscopic lavage). This study aimed to compare these two methods in terms of clinical short-term outcomes, with a focus on complications. It was found that laparoscopic lavage had fewer complications than resectional surgery and a shorter hospital stay. The new method was safe when used in Swedish routine care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lavado Peritoneal / Laparoscopía / Diverticulitis del Colon / Perforación Intestinal Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Br J Surg Año: 2021 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lavado Peritoneal / Laparoscopía / Diverticulitis del Colon / Perforación Intestinal Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Br J Surg Año: 2021 Tipo del documento: Article País de afiliación: Suecia Pais de publicación: Reino Unido