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ISSN 2007-6517 (Print)

2013, Number 1

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Rev Latinoam Cir 2013; 3 (1)

Bowel continuity after complicated diverticular disease in a referral center

Palomares CUR, Pérez NJV, Anaya PR, Arreguín CJL, Haro VFJ, González IJJ

Language: Spanish
References: 18
Page: 25-28
PDF size: 224.38 Kb.


ABSTRACT

Background: One of the most important concerns in colorectal surgery is the presence of fistula or anastomotic leakage and is associated with a significant increase in morbidity and mortality and in hospital stay. Overall incidence of this complication in colorectal surgery goes between 3.4 and 6%, and rises up to 15% in low colorectal anastomosis. The purpose of this work was to show prevalence of postoperative complications in patients undergoing bowel continuity after comolicated diverticular disease.
Material and methods: Cross-sectional study which analyzed all patients treated between 2006 to 2011 with previous intestinal dysfuntion because of complicated diverticular disease and who were admitted for bowel continuity in Colorectal Department. Data registered for this study included performed surgery, type of anastomosis, type of complication, type of management, type of drainage, postoperative complications and success rate.
Results: The study included 29 patients: 17 were men and 12 women. Hand sawn anastomosis was performed in seven cases and 22 were staple. The main complications included anastomosis dehiscence in two cases and wound seroma in one case. Average hospital stay was 10 days.
Conclusions: Bowel anastomosis after diverticular disease is a procedure that is not free from complications but has a low mortality.


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