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Dr. Taher hussieny ahmed :: Publications:

Title:
Early Elective Versus Delayed Elective Laparoscopic Sigmoidectomy Following the Acute Episodes of Sigmoid Diverticulitis: A Prospective Study
Authors: Ashraf M. Abdelkader*, Nasser A. Zaher, Taher H. Elwan, Mokhtar A. Bahbah, Ebtesam ND. Attia
Year: 2019
Keywords: Elective Surgery; Laparoscopic Sigmoidectomy; Sigmoid Diverticulitis
Journal: Journal Of Surgery (ISSN: 2575-9760)
Volume: 2019;
Issue: 01
Pages: 1-7
Publisher: Gavin
Local/International: International
Paper Link:
Full paper Taher hussieny ahmed _PUBLISHED.pdf
Supplementary materials Not Available
Abstract:

Objectives: we are aiming to investigate and compare the outcome of early elective surgery for sigmoid diverticulitis directly after improving the acute attacks versus delayed elective interventions. Methods: Our study included 47 patients of sigmoid diverticulosis. Patients were divided into 2 groups; group A (25 patients) who underwent surgery in the same hospital admission of the acute attack after controlling the manifestation of the acute inflammation within one week of admission, and group B (22 patients) who underwent surgery 4-6 weeks after subsidence of the acute attacks during the inflammation-free interval. We had collected and recorded patients’ data during and after a surgical procedure, then data were statistically analyzed. Results: No significant differences between group A and B regarding the mean operative time (p-value 0.067). However, the mean amount of the intra-operative bleeding and the rate of Hartman’s procedure were significantly higher in the early elective group (p-value 0.034 versus 0.021). About the conversion rate and the men postoperative ICU as well as hospital stay days, there were no significant variances between the two groups. Conclusion: Medically and financially, the early elective operations for patients following the clinical recovery of the AD attacks are preferred than the delayed elective surgeries.

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