Diagnostics and Surgical Treatment of Perforation of a Diverticulum of a Colonic Intestine
The article contains results of treatment of 69 patients with suppurative!inflammatory complications of colon diverticular disease (DD). Urgent surgery was performed in 67 (97.1%) patients, among them at the first stage in 35 (52.2%) Gartman!type cases sigmoid resection was performed, in 15 (22.4%) cases Mikulich!type resection, and in 17 (25.4%) cases loop colostoma formation in the site of complications. Results of analysis showed that Gartmanand Mikulich!type resection at the first stage allows the most favorable further treatment of peritonitis, and facilitate postoperative period and reparative stage. Also pathogenetic features of DD must be accounted for, as well as impossibility to exclude sigmoid tumor. But in a category of patients severe concurrent diseases allow only minimal volume surgery exteriorization of sigmoid on the abdominal wall.