Sigmoid diverticulosis surgery

In the case and presence of generalized pritonitis, the paitient survival rate is higher if focus is less on the bowel continuity and the continuity goal must therefore be secondary to the goal of maximum survival chance during diverticulitis surgery.

Sigmoid resection with anastomosis is used where it is judged to be safe, considering criteria as adequate bowel preparation, good blood supply and low level of tension on the anastomosis. The Hartmann procedure is normally used for fecal peritonitis, or purulent peritonitis. The Hartmann procedure is a 2-stage operation.

The alternatives to the Hartmann procedure are based on resection and primary anastomosis, sometimes with a temporary loop ileostomy, or with a loop colostomy. However, there is a discussion in the medical society whether these alternatives can be considered safe enough. It has been shown in studies by Gooszen that colorectal surgery followed by temporary decompression has a high rate of complications and increased risk of mortality.

Severe acute diverticulitis (infection) will require hospitalization. Treatment is a combination of antibiotics (broad spectrum), intravenous hydration, bowel rest and possibly also nasogastric tube decmompresion. Antibiotics are applied for one week, or up to 10 days. After successful treatment, it is recommended that a patient goes on a diverticulitis diet with high fiber content to minimize the risk or recurrance.

Most patients can be treated as out patients and prescribed oral antibiotics with close follow-ups. It is only in severe cases of diverticulitis or where there are complications in conjunction with co-existing diseases that hosiptal treatment is necessary and treatment is then usually intravenous antibiotics.

If the diverticulitis (diverticulosis) is recurrent, it can result in the formation of abcesses, fistlulas or strictures and when these complications develop, sigmoid diverticulitis surgery may be required. Sigmoid diverticulosis surgery is normally performed with laparoscopy and only in cases of inflammation, bleeding or other complications encountered during the laparoscopic surgery, open surger is normally considered.

Surgery is used conservatively but in severe cases of diverticulitis it is always used. Severe cases are when complications have occured like intestinal perforation, obstruction or peritonitis.

Diverticulitis surgery risks

Colon clense
Regular colon clensing helps preventing conditions like diverticulosis, Chron's disease etc.

Colon clensing - dual action
By using a colonic clensing regularly you will help preventing illness, but it is important to pick the right cleanse.

Dual action clense
Colon cleanse taken one step further.

Dual action cleanse - diverticulosis
Diverticulosis, or diverticulitis, treating with colon cleanse.

Colon cleanse and diverticulitis
Colon clense and its importance for the treatment of sigmoid diverticulitis.

Diverticulosis
How to use a diverticulitis diet to improve, regular colonic cleaning.

Diverticulitis
Sigmoid diverticulitis (a complication of diverticulosis) explained - diet, colon clensing and colonic surgery.

Sigmoid diverticulosis
Sigmoid diverticulosis is the most common form of diverticulosis.

Diverticulitis diet
Sigmoid diverticulitis diet and colon cleanse treatment. Combine colon cleansing with diverticulitis diet for best result.

Colon cleanser
Dual action cleanse (clense) or normal colonic cleansing for sigmoid diverticulosis (diverticulitis) prevention. Using a colon cleanser (colon clenser).

Diverticulitis symptoms
Symptoms of sigmoid diverticulitis (diverticulosis).

Sigmoid diverticulosis complications
Complications - diverticulitis is the most common one.

Sigmoid diverticulosis surgery
When progressed into diverticulitis - surgery when colonic cleanse or dual action cleanse is not enough.

Colon clensing hydrotherapy