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2009, Number 3

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Cir Gen 2009; 31 (3)

Laparoscopic lavage and drainage of the abdominal cavity in the presence of acute diverticulitis

Gómez LJM, Pichardo UA, Baqueiro CA, Terrazas EF, Fernández ÁJ

Language: Spanish
References: 31
Page: 169-174
PDF size: 46.87 Kb.


ABSTRACT

Objective: To assess the usefulness of drainage and lavage by laparoscopy for acute diverticulitis. Setting: Hospital Espańol (third level health care hospital). Design: Retrospective, comparative, observational study of a case series. Statistics: Central tendency measures, Student’s t test and linear correlation. Patients and methods: Patients coursing with acute diverticulitis, analyzing total and post-operative in-hospital stay, days elapsed before taking the surgical decision. Comparison of cases according to Hinchey’s classification, surgical time, and morbidity and mortality. Results: We gatherred 17 cases, which according to Hinchey’s classification corresponded to: five in grade I, six in grade II, and six in grade III. Total in-hospital stay was of 11.3±5.6 days and postoperative stay was of 8 ± 4.1 days. Average surgical time was of 104 ± 34 min. According to Hinchey’s classification, when correlating the delay in surgery with the in-hospital stay, the latter was longer when delaying the surgical decision, especially in the Hinchey III group, R = 0.36. Post-operative in-hospital stay, according to each group, was of 5.9, 7.6, and 10.5 days for Hinchey I, II, and III, respectively. A 5.8% morbidity was encountered not related to the procedure, and a 5.8% mortality. Conclusions: The drainage and lavage method by laparoscopy is useful in Hinchey III cases, as it decreases post-operative in-hospital stay, especially if surgery is performed early. For Hinchey II cases, it avoids colostomy and enables performing the surgery in one time.


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