The Current Surgical Management of Complicated Left-Sided Colonic Diverticulitis: A Narrative Review | Chapter 9 | An Overview of Disease and Health Research Vol. 4

 

Acute left-sided diverticulitis is the most common presentation of acute diverticulitis, and it can be divided into complicated and uncomplicated diverticulitis. The surgical management of complicated diverticulitis can be divided into Hartmann’s procedure or Sigmoid resection and anastomosis with a covering ileostomy. Damage control surgery is performed for complicated left-sided diverticulitis who are hemodynamically unstable. Laparoscopic lavage is a bridging procedure that is performed in complicated diverticulitis with purulent discharge or Hinchy 3 to stabilise them and perform definitive surgery later. In this review, we will look at the role of surgical management of complicated left-sided diverticulitis, the Hartmann’s procedure, and colonic resection with anastomosis. We will also look at the role of laparoscopic lavage for complicated diverticulitis.

 

Author(s) Details

Kumar H.R.

Taylor's University School of Medicine and Health Science, 47500 Selangor, Malaysia.

 

Please see the book here:- https://doi.org/10.9734/bpi/aodhr/v4/5979

An Update on the Current Management of Sigmoid Volvulus | Chapter 4 | Achievements and Challenges of Medicine and Medical Science Vol. 6

Sigmoid volvulus is a common cause of large bowel obstruction in older patients in the West and in younger patients in the East. The diagnosis is made by clinical examination, blood investigations and imaging modalities like X-ray and computerized tomography. Sigmoid volvulus can be divided into a complicated or uncomplicated clinical presentation. For uncomplicated sigmoid volvulus, the treatment is initially endoscopic decompression and flatus tube insertion, and this is followed by an elective sigmoid resection. For complicated sigmoid volvulus, surgical resection is the treatment of choice and Hartmann’s procedure is the most common operation as anastomosis is rarely performed. We have conducted this review article to review the current management of sigmoid volvulus.

 

Author (s) Details

Kumar H.R
Department of Surgery, Taylor’s University School of Medicine and Health Science, 47500 Subang Jaya, Selangor, Malaysia.

 

Please see the book here:- https://doi.org/10.9734/bpi/acmms/v6/3448