Table 2.
Demographics and outcomes of acute surgical management
Age / sex | CT grade of diverticulitis | Indication for acute surgical intervention | Intervention | Length of stay | Complications | Pathology |
---|---|---|---|---|---|---|
62 M | 1 | Ongoing pain with non-operative treatment | Open sigmoid colectomy | 11 days | Superficial surgical site infection | Diverticulosis |
43 M | 2 | Failed non-operative management | Hartmann’s procedure | 36 days | Postoperative chest sepsis and intensive care unit admission | Diverticular abscess |
52 F | 2 | Failed non-operative management | Open subtotal colectomy (due to unhealthy looking caecum at laparotomy) | 20 days | Adhesive small bowel obstruction 11 months after index operations, requiring operative intervention | Diverticular abscess |
76 F | 2 | Failed non-operative management | Hartmann’s procedure | 19 days | Postoperative myocardial infarct; admission to coronary care unit and angiography | Perforated diverticulitis |
57 M | 3 | Unsuitable for radiological drainage | Laparoscopic washout and drain insertion | 7 days | Nil | N/A |
69 F | 3 | Large bowel obstruction | Hartmann’s procedure | 10 days | Nil | Perforated diverticulitis |
88 M | 3 | Significant co-morbidities precluding major surgery | Open left paracolic drainage | 14 days | Nil | N/A |
50 F | 4 | Generalised peritonitis following head and neck surgery | Hartmann’s procedure | 37 days | Nil | Diverticulitis |
51 M | 4 | Small bowel obstruction | Hartmann’s procedure | 29 days | Full-thickness wound dehiscence requiring return to theatre | Diverticular abscess |
53 M | 4 | Generalised peritonitis | Hartmann’s procedure | 17 days | Nil | Diverticular abscess |
55 F | 4 | Generalised peritonitis | Hartmann’s procedure | 9 days | Superficial surgical site infection | pT4 N0 Dukes’ B moderately differentiated adenocarcinoma, completely excised |
63 M | 4 | Generalised peritonitis | Hartmann’s procedure | 18 days | Nil | Diverticulitis |
63 M | 4 | Generalised peritonitis | Open subtotal colectomy (owing to involvement of the caecum in the inflammatory mass) | 16 days | Nil | Diverticular abscess |
63 M | 4 | Generalised peritonitis | Hartmann’s procedure | 20 days | Nil | Perforated diverticulitis |
65 F | 4 | Failed non-operative management | Hartmann’s procedure | 22 days | Ischaemic colostomy and return to theatre on day 1 postoperatively for stoma refashion | Diverticulitis |
71 F | 4 | Generalised peritonitis 8 days following cardiac surgery | Hartmann’s procedure | 96 days | Postoperative multiorgan failure | Diverticular abscess |
85 F | 4 | Failed non-operative management | Hartmann’s procedure | 14 days | Death on postoperative day 14 from multiorgan failure | Perforated diverticulitis |
CT = computed tomography; N/A = not applicable