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    • Laparoscopic Lavage with Drainage for Hinchey III Diverticulitis without Colonic Resection: A Prospective Study

    Salah M. Raslan MD and Hany M. Elbarbary MD, FRCS, FACS
    Department of General Surgery, Ain Shams university

    Background: The aim of this study was to define the effectiveness of laparoscopic lavage and drainage without colonic resection for the treatment of Hinchey III Diverticulitis. Materials and methods: This prospective study was done in Ain Shams university hospitals from December 2010 to January 2014 and included 147 patients admitted with diagnosis of complicated diverticulitis, of which 57 patients were Hinchey I diverticulitis, 50 patients Hinchey II, 33 patients Hinchey III and 7 Patients Hinchey IV. Patients with Hinchey III diverticulitis only were included in this study. Follow up was done for one year. Results: 33 Patients with Hinchey III diverticulitis underwent Laparoscopic Lavage with drainage, 18.2% of them were Converted to open colonic resection, 9.1% had repair of identified colonic perforation with diverting ileostomy, 3% had repair of burst abdomen, 15.25% necessitated Post-operative CT-guided drainage and 21.2% underwent Re-Lavage Conclusion: Laparoscopic lavage with drainage for Hinchey III diverticulitis is feasible and safe and avoids the complications of colonic resection. Keywords: Laparoscopic lavage – complicated diverticulitis.

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