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Reoperation in Complicated Diverticular Disease

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Reconstructive Surgery of the Rectum, Anus and Perineum

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Abstract

This chapter discusses the approach toward Hartmann’s reconstruction in complicated diverticular disease and the operative management of recurrent diverticulitis. The paradigmatic surgical approach has changed, with relaxed indications for laparoscopic management, primarily of complicated cases, and for resection and reconstruction despite relatively poor knowledge of the likelihood of surgical need after recurrent admissions for severe acute diverticulitis and a limited database concerning functional and quality of life outcomes in these patients. This chapter discusses the role of reoperative surgery for diverticular disease for complications of elective surgery such as anastomotic leakage and for complications of disease such as fistula, abscess or stricture. Anatomic considerations, timing of reoperation, preoperative preparation, conduct of the operation and outcome are reviewed.

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Authors and Affiliations

  1. Department of Colon and Rectal Surgery, Lahey Clinic, 41 Mall Road, Burlington, MA, 01805, USA

    Patricia L. Roberts M.D.

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  1. Patricia L. Roberts M.D.
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Correspondence to Patricia L. Roberts M.D. .

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Editors and Affiliations

  1. Tamworth Rural Referral Hospital, Dean Street, Tamworth, 2340, New South Wales, Australia

    Andrew P. Zbar

  2. Delware Street 420, Minneapolis, 55455, Minnesota, USA

    Robert D. Madoff

  3. , Dept. Colorectal Surgery, Cleveland Clinic, Florida, Cleveland Clinic Blvd. 2950, Weston, 33331, Florida, USA

    Steven Wexner

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© 2013 Springer-Verlag London

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Roberts, P.L. (2013). Reoperation in Complicated Diverticular Disease. In: Zbar, A., Madoff, R., Wexner, S. (eds) Reconstructive Surgery of the Rectum, Anus and Perineum. Springer, London. https://doi.org/10.1007/978-1-84882-413-3_48

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  • DOI: https://doi.org/10.1007/978-1-84882-413-3_48

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-412-6

  • Online ISBN: 978-1-84882-413-3

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