Abstract For many years resection in the treatment of colonic diverticulitis was reserved for those cases in which the complications of perforation, obstruction, or fistulation occurred. These operations were associated with high morbidity, significant mortality, and prolonged periods of disability, since they frequently involved staged procedures upon old and debilitated patients. In the past decade, however, a one-stage resection with primary anastomosis has been utilized in this country for the treatment of early colonic diverticular disease and has been demonstrated to be a safe procedure offering excellent results.4,8,13,18-20 Coincidental with the increased number of reports in recent surgical literature concerning operations for diverticular disease of the sigmoid colon, there was a noticeable increase in the number of surgical procedures performed for this disease at the Presbyterian and Woman's Hospitals, Pittsburgh. A review of the operative cases from these hospitals was carried out, covering the six-year period of January, 1953, to References 1. Allen, J. G.; Harkins, H. N.; Moyer, C. S., and Rhoads, J. E.: Surgery Principles and Practice , Philadelphia, J. B. Lippincott Company, 1957. 2. Bacon, H. E.: Anus, Rectum, Sigmoid Colon , Ed. 3, Philadelphia, J. B. Lippincott Company, 1949. 3. Boles, R. S., and Jordan, S. M.: The Clinical Significance of Diverticulosis , Gastroenterology 35:579 ( (Dec.) ) 1958. 4. Colcock, B. P.: Surgical Management of Diverticulitis , Surg. Gynec. & Obst. 102:721 ( (June) ) 1956. 5. Earley, C. M.: Management of Massive Hemorrhage from Diverticular Diseases of the Colon , Surg. Gynec. & Obst. 108:49 ( (Jan.) ) 1959. 6. Edwards, H. C.: Diverticula of Colon and Vermiform Appendix , Lancet 1:221 ( (Feb. 3) ) 1934. 7. Fagin, I. D.: Does Uncomplicated Diverticulosis of the Colon Cause Symptoms? Am. J. Digest. Dis. 22:316 ( (Nov.) ) 1955. 8. Judd, E. S., and Smith, M. P.: Present Trends in Surgical Treatment of Diverticulitis , S. Clin. North America 37:1019 ( (Aug.) ) 1957. 9. Keith, L. M., Jr., and Rini, J. M.: The Significance of Diverticula of the Colon in Massive Melena , A.M.A. Arch. Surg. 74:571 ( (April) ) 1957. 10. Mayo, W. J.: Acquired Diverticulitis of the Large Intestines , Surg. Gynec. & Obst. 5:8 ( (July) ) 1907. 11. Mayo, W. J.: Diverticula of Sigmoid , Ann. Surg. 92:739 ( (Oct.) ) 1930. 12. Mobley, J. E.; Docherty, M. D., and Waugh, J. M.: Bleeding in Colonic Diverticulitis , Am. J. Surg. 94:44 ( (July) ) 1957. 13. Moore, R. M., and Kirksey, O. T.: One Stage Resection in Selected Causes of Sigmoid Diverticulitis , Ann. Surg. 139:826 ( (June) ) 1954. 14. Pemberton, J. DeJ.; Black, B. M., and Maino, C. R.: Progress in the Surgical Management of Diverticulitis of the Sigmoid Colon , Surg. Gynec. & Obst. 85:523 ( (Oct.) ) 1947. 15. Rankin, F. W., and Brown, P. W.: Diverticulitis of the Colon , Surg. Gynec. & Obst. 50:836 ( (May) ) 1930. 16. Starkloff, G. B., and Lewis, J. E.: The Surgical Treatment of Sigmoid Diverticulitis , Am. Surgeon 22:295 ( (March) ) 1956. 17. Strenger, G.: Elective Resection for Sigmoid Diverticulitis , Am. J. Surg. 94:577 ( (Oct.) ) 1957. 18. Swinton, N. W.: Surgical Aspects of Diverticulitis , Am. J. Surg. 82:603 ( (Nov.) ) 1951. 19. Thompson, J. W., and Thompson, J. W., III: Colonic Diverticulitis , Postgrad. Med. 18:243 ( (Sept.) ) 1955. 20. Waugh, J. M., and Walt, A. J.: An Appraisal of One-Stage Anterior Resection in Diverticulitis of the Sigmoid Colon , Surg. Gynec. & Obst. 104:690 ( (June) ) 1957. 21. Welch, C. E.; Allen, W. W., and Donaldson, D. A.: Appraisal for Resection of the Colon for Diverticulitis of the Sigmoid , Ann. Surg. 138:332 ( (Sept.) ) 1953. 22. Wells, C. A.: Diverticula of the Colon , Brit. J. Radiol. 22:449 ( (Aug.) ) 1949.
Archives of Surgery – American Medical Association
Published: Sep 1, 1960
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