TABLE 3.
Laparoscopic Lavage (n = 39) | Hartmann's Procedure (n = 36) | P | Missing Data Lavage/Hartmann | |
Duration of surgery (hh:mm) | 1:08 (0:28–3:14) | 2:34 (0:58–4:26) | <0.0001 | 4 (10.3%)/3 (8.3%) |
Time between end of surgery and end of anesthesia (hh:mm) | 0:19 (0:05–0:42) | 0:29 (0:00–1:37) | <0.0001 | 4 (10.3%)/3 (8.3%) |
Additional surgical procedure* | 0 | 2/36 (5.6%) | 0.368 | 4 (10.3%)/0 |
Amount of saline used for lavage | 0.045 | 0/8 (22.2%) | ||
No lavage | 0 | 4/28 (14.3%) | ||
3 L | 23/39 (59%) | 19/28 (67.9%) | ||
4–5 L | 9/39 (23.1%) | 4/28 (14.3%) | ||
6–10 L | 3/39 (7.7%) | 1/28 (3.6%) | ||
>10 L | 4/39 (10.3%) | 0 | ||
Inflammation site | 0.295 | |||
Sigmoid colon | 39/39 (100%) | 35/36 (97.2%) | ||
Rectum | 0 | 1/36 (2.8%) | ||
Visible perforation in the colon | 2/38 (5.2%) | 18/36 (50%) | <0.0001 | 1 (2.6%)/0 |
Presence of adhesions | 0.710 | |||
None | 15/39 (38.5%) | 16/36 (44.4%) | ||
Average | 20/39 (51.3%) | 18/36 (50%) | ||
Severe | 4/39 (10.3%) | 2/36 (5.6%) | ||
Adhesions causing technical difficulties | 8/37 (21.6%) | 5/35 (14.3%) | 0.419 | 2 (5.1%)/1 (2.8%) |
Conversions from of randomization | 0 | 0 | ||
Description of the Hartmann's procedure | ||||
Location of the proximal resection margin | ||||
Ileum† | 1/36 (2.8%) | |||
Left colon | 14/36 (38.9%) | |||
Sigmoid colon | 21/36 (58.3%) | |||
Location of the distal resection margin | ||||
Sigmoid colon | 3/36 (8.3%) | |||
Rectosigmoid junction | 28/36 (77.8%) | |||
Rectum | 5/36 (13.9%) | |||
Drainage | 37/39 (94.9%) | 30/36 (83.3%) | 0.106 | 2 (5.1%)/0 |
Urinary catheter | ||||
Suprapubic catheter | 0/39 (0%) | 5/36 (13.9%) | 0.016 | |
Transurethral catheter | 32/38 (84.2%) | 31/36 (86.1%) | 0.818 | 1 (2.6%)/0 |
*Loop ileostomy and appendectomy.
†Small bowel adherent to the inflamed sigmoid colon. The sigmoid colon was the most proximal resection margin on the colon, but the small bowel was also resected.