Sigmoidovesical fistulas due to complication of colonic diverticular disease

Our experience in the surgical treatment of colovesical fistulas resulting from complications of colonic (sigmoidea!) diverticular disease comprises a series of 10 operated cases in which death-rate and morbility were negligible. Their incidence is 3 % out of a casematerial comprising 230 cases of d...

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Detalles Bibliográficos
Autores: Asiner, Boris, Schenone, Héctor
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:1972
País:Uruguay
Institución:Sociedad de Cirugía del Uruguay
Repositorio:Revista Cirugía del Uruguay
Idioma:español
OAI Identifier:oai:ojs2.revista.scu.org.uy:article/2236
Acceso en línea:https://revista.scu.org.uy/index.php/cir_urug/article/view/2236
Access Level:acceso abierto
Palabra clave:cirugía digestiva
colon
divertículos
digestive surgery
diverticulum
Descripción
Sumario:Our experience in the surgical treatment of colovesical fistulas resulting from complications of colonic (sigmoidea!) diverticular disease comprises a series of 10 operated cases in which death-rate and morbility were negligible. Their incidence is 3 % out of a casematerial comprising 230 cases of diverticular colopathy plus 4 non-hospital cases. Ages were between 42 and 79;8 were male and 2 female. Surgical tactics require resection of t°he colonic sector with complicated sigmoidea!colonic diverticular disease, including the fistula, with abscission of the fistulized vesical sector whenever such is the case. The addition of prior or concomitant right transverse colostomy (stepped surgery) is advisable. We favour insertion of Folley's catheter for operatory and even post-operatory management.