caa a22 4500 465762808 CHVBK 20180323111904.0 cr unu---uuuuu 170327e19901201xx s 000 0 eng 10.1007/BF00303274 doi (NATIONALLICENCE)springer-10.1007/BF00303274 Surgical management of perforating diverticular disease in Austria [Elektronische Daten] [M. Hold, H. Denck, P. Bull] Perforated diverticulitis is a much feared complication of diverticular disease and requires immediate surgical therapy to limit the incipient peritonitis and its sequelae. The ensuing surgical approach which could best irradicate the septic focus as well as restore normal intestinal continuity with less morbidity and mortality has been a matter of controversy. In the last ten years primary resection and colostomy has replaced the threestage procedure in most cases of peritonitis. Primary anastomosis, when peritoneal involvement is well confined, has been shown to give excellent results. To assess the surgical management of perforating diverticulitis in Austria, a questionnaire was sent to leading hospitals throughout the country and information of 241 patients with perforating diverticulitis was compiled. The overall peroperative mortality was 9%, and the highest rate of complication (37.9%) was observed after primary resection and anastomosis with temporary defunctioning proximal colostomy. The mortality, as expected, is directly proportional to the extent of peritonitis; it was significantly greater among patients with generalised peritonitis and lowest among cases of covered perforation. Springer-Verlag, 1990 Hold M. First Surgical Department, Krankenhaus Wien-Lainz, Vienna, Austria aut Denck H. First Surgical Department, Krankenhaus Wien-Lainz, Vienna, Austria aut Bull P. First Surgical Department, Krankenhaus Wien-Lainz, Vienna, Austria aut International Journal of Colorectal Disease Springer-Verlag 5/4(1990-12-01), 195-199 0179-1958 5:4<195 1990 5 384 https://doi.org/10.1007/BF00303274 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00303274 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hold M. First Surgical Department, Krankenhaus Wien-Lainz, Vienna, Austria aut NATIONALLICENCE 700 1- Denck H. First Surgical Department, Krankenhaus Wien-Lainz, Vienna, Austria aut NATIONALLICENCE 700 1- Bull P. First Surgical Department, Krankenhaus Wien-Lainz, Vienna, Austria aut NATIONALLICENCE 773 0- International Journal of Colorectal Disease Springer-Verlag 5/4(1990-12-01), 195-199 0179-1958 5:4<195 1990 5 384 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer