A Report of 36 Cases From the New York Hospital

Conway, Francis M.; Hitzrot, James Morley

doi:10.1097/00000658-193110000-00018

Cited by 3 publications

(1 citation statement)

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“…For these reasons, many surgeons, including Arhneim and Egger, favored the Mikulicz procedure [ 24 , 118 ]. However, while most surgeons approved the theoretical advantages of Mikulicz’ exteriorization, they believed that this technique could be performed in very limited cases, because of the surrounding adhesions and edematous bowel [ 25 , 119 ].…”

Section: Resultsmentioning

confidence: 99%

A historical review of surgery for peritonitis secondary to acute colonic diverticulitis: from Lockhart-Mummery to evidence-based medicine

Cirocchi

Afshar

Saverio³

et al. 2017

World J Emerg Surg

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The management of patients with colonic diverticular perforation is still evolving. Initial lavage with or without simple suture and drainage was suggested in the late 19th century, replaced progressively by the three-stage Mayo Clinic or the two-stage Mickulicz procedures. Fears of inadequate source control prompted the implementation of the resection of the affected segment of colon with formation of a colostomy (Hartman procedure) in the 1970’s. Ensuing development of the treatment strategies was driven by the recognition of the high morbidity and mortality and low reversal rates associated with the Hartman procedure. This led to the wider use of resection and primary anastomosis during the 1990’s.The technique of lavage and drainage regained popularity during the 1990’s. This procedure can also be performed laparoscopically with the advantage of faster recovery and shorter hospital stay. This strategy allows resectional surgery to be postponed or avoided altogether in many patients; and higher rates of primary resection and anastomosis can be achieved avoiding the need for a stoma. The three recent randomized controlled trials comparing laparoscopic peritoneal lavage alone to resectional surgery reported inconsistent outcomes.The aim of this review is to review the historical evolution and future reflections of surgical treatment modalities for diffuse purulent and feculent peritonitis. In this review we classified the various surgical strategies according to Krukowski et al. and Vermeulen et al. and reviewed the literature related to surgical treatment separately for each period.

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