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Reoperation for Diverticular Disease

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Reoperative Pelvic Surgery

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Abstract

Diverticulosis is a very common condition of Western countries, with the majority of people living beyond the age of 60 acquiring the condition. Individuals with diverticulosis have an estimated 10% to 20% chance of developing diverticulitis, and approximately 20% of these patients develop complications of this disease.[1] Reoperation for recurrent diverticulitis following sigmoid resection is fortunately uncommon. The rate of recurrence after colectomy is reported to be between 1% and 10.4% in the limited available literature.[2] More commonly, patients with diverticulitis are reoperated on to close a colostomy after a Hartmann’s procedure. This chapter discusses recurrent diverticulitis in terms of timing, diagnosis, imaging studies, and treatment, and discusses the use of the Hartmann procedure, the timing of closure, and the surgical approach for colostomy closure.

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Author information

Authors and Affiliations

  1. Division of Colon and Rectal Surgery; Professor and Vice Chair, Department of Surgery, University of California Irvine Health Sciences, Orange, CA, USA

    Michael J. Stamos MD, FACS (Chief)

  2. Division of Colorectal Surgery, Cedar-Sinai Medical Center, Los Angeles, CA, USA

    Zuri A. Murrell MD (Staff Surgeon)

Authors
  1. Michael J. Stamos MD, FACS
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  2. Zuri A. Murrell MD
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Editor information

Editors and Affiliations

  1. Northwest Colon and Rectal Clinic, Madison Street 1101, Seattle, 98104, U.S.A.

    Richard P. Billingham

  2. Virginia Mason Medical Center, 9th Avenue 1100, Seattle, 98101, U.S.A.

    Kathleen C. Kobashi

  3. Madison Street 1100, Seattle, 98104, U.S.A.

    William A. Peters

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© 2009 Springer Science+Business Media, LLC

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Stamos, M.J., Murrell, Z.A. (2009). Reoperation for Diverticular Disease. In: Billingham, R., Kobashi, K., Peters, W. (eds) Reoperative Pelvic Surgery. Springer, New York, NY. https://doi.org/10.1007/b14187_22

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  • DOI: https://doi.org/10.1007/b14187_22

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-89998-5

  • Online ISBN: 978-0-387-89999-2

  • eBook Packages: MedicineMedicine (R0)

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