This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by Taryn E Hassinger & Philip H Pucher during the Diverticulitis Consensus Conference on April 12 2018
Keyword(s): air leak test, analgesic, anastomotic leak, antibiotics, bowel prep, case series, cohort studies, colonic surgery, colorectal, colorectal anastomosis, colosigmoid anastomosis, complicated acute diverticulitis, complicated diverticulitis, consensus, conservative management, conversion, conversion rate, defecatory function, delayed surgery, distal, diverticular disease, diverticulum, elective interval sigmoid resection, elective resection, elective surgery, expert, expertise, handsewn anastomosis, Hartmanns procedure, IMA, immunocompromised, indications, inferior mesenteric artery, inflammation, Italian, laparoscopic approach, laparoscopic elective resection, laparoscopy, left-sided colonic anastomosis, ligation, literature search, meta-analysis, morbidity, mortality, NSQIP, obese, open resection, open surgery, operative management, overweight, pelvic drains, phlegmon, postop pain, postoperative pain, postpoperative ileus, practice, prophylactic drains, prophylactic ureteral stents, proximal, QoL, quality of life, randomized trial, rectosigmoid junction, rectum, recurrent diverticular disease, retrospective, SBO, sexual function, SFM, short-term functional outcomes, sigmoid resection, small bowel obstruction, splenic flexure mobilization, SSI, stapled anastomosis, stoma formation, surgical site infection, surgical strategy, survey, symptomatic diverticular disease, tension free anastomosis, transection, ureteric injury, ureteric stenting
Question 6.1: What is the role of laparoscopy in elective surgery for diverticulitis?–38 sec
Question 6.2: When is elective interval sigmoid resection indicated following an episode of complicated acute diverticulitis?–1:39
Question 6.3: When should prophylactic ureteral stents be used prior to elective surgery for diverticulitis?–2:45
Citation–3:27 Dis Colon Rectum 2018
Question 6.4: What is the role of bowel prep prior to surgery in the management of diverticular disease?–6:03
Question 6.5: What is the optimal surgical strategy in the elective setting for complicated & uncomplicated diverticulitis?–7:21
Question 6.6: When is a Hartmann’s procedure indicated in the elective setting?–8:42
Question 6.7: What is the recommended extent of sigmoid resection, including mobilization of proximal bowel & mesentery/phlegmon dissection during elective surgery for diverticulitis?–9:27
Question 6.8: What is the optimal proximal & distal level of colon resection, and how should the rectum be transected? 10:39
Question 6.9: What is the optimal strategy for colorectal anastomosis in diverticular disease? and how is the anastomosis best assessed?–12:18
Question 6.10: What is the role of pelvic drains following elective resection for complicated diverticulitis?–14:08
Question 6.11: What are the short-term functional outcomes including defecatory & sexual function & QoL following elective surgery for diverticular disease?–18:37
Question 6.12: How should complicated diverticulitis be managed among specific patient groups in the elective setting?–20:41
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