Odimba B F, Stoppa R, Henry X, Verhaeghe P, Plachot J P
Acta Chir Belg. 1984 Mar-Apr;84(2):105-108.
A retrospective study of 32 cases. The authors relate about a series of thirty-two cases of diffuse peritonitis, complicating diverticular sigmo iditis in which the etiological features, means of diagnosis and surgical procedures are analysed. According to obtained results, the preference is given to Hartmann's intervention. They are convinced that the better results after that surgical technique are due to the better management of the stercoral peritonitis it offers, taking away the infectious segment. It is neither long to perform nor dangerous and prevents anastomotic fistula in these no-prepared colons. The global mortality of peritonitis in diverticular disease of the colon appears them still very high and they prefer the one stage prophylactic segmentary colectomy after one or two medically treated acute sigmo iditis , particularly in the young patient of who the liability to complications is high.
一项对32例病例的回顾性研究。作者讲述了一系列32例弥漫性腹膜炎病例，这些病例使乙状结肠憩室炎复杂化，其中分析了病因特征、诊断方法和手术程序。根据获得的结果，更倾向于哈特曼手术。他们确信，该手术技术术后效果更好是因为它能更好地处理粪性腹膜炎，切除感染段。该手术操作时间不长且不危险，可防止这些未准备好的结肠发生吻合口瘘。他们发现结肠憩室病引起的腹膜炎总体死亡率仍然很高，他们更倾向于在一两次药物治疗急性乙状结肠憩室炎后进行一期预防性节段性结肠切除术，特别是对于并发症风险高的年轻患者。
