What is the treatment of perforated diverticulitis?
emergency surgery and large doses of antibiotics are usually needed to treat perforated diverticulitis. During the surgery, the abdominal cavity will have to be washed out purely from intestinal fluids that leaked from the large intestine in a process called peritoneal rinse. Surgical treatment of perforated diverticulitis requires several procedures including primary colon resection, primary anastomosis or colostomy.
After arriving at the hospital, intravenous (IV) fluids and broad -spectrum antibiotics will be initiated immediately. The attending physician can order scanning computed tomography (CT) or scanning magnetic resonance imaging (MRI) to visualize the abdomen content. If the patient is suspected of having a great perforation, scanning can be skipped in favor of exploratory surgery. In the abdomen there will be cut to reveal the large intestine. Damaged areas are then cut out of Lngth from the large intestine, leaving only healthy tissues. This technique requires the surgeon to keep carefullyl hollow bowel structure. Anastomosis combines the free ends of the colon to allow the future function of the intestines.
If the patient's large intestine is not healthy enough to reconnect to the rectum, the surgeon may decide to create colostomy. One end of the large intestine is stretched through the opening in the abdomen wall and then the workbook on the abdominal skin. A drain can be inserted into the abdomen to remove pus and other infectious fluids during the recovery period.
Peritoneal rinsing is the next step in surgical treatment of perforated diverticulitis. The interior of the abdominal cavity and the internal organs are literally washed pure from the leakage of the contents. Once the abdomen is cleaned, the surgical cut will be closed with clamps or stitches.
After surgery, an in-related stay in the hospital will be required until the large intestine is healthy enough to ensure that other perforation is no longer a problem. If colostomy was needed, a bag will be attached to the stoma or opening to collect the fecal mass produced by the body. During this time, CT or MRI scan will be repeated to evaluate the healing process and search for any abscesses or pockets of infection.
Six months after primary resection and colostomy, the surgeon can re -attach the end of the large intestine to the rectum if the tissue is sufficiently healthy. The decision will be made after performing a number of tests, including colonoscopy. The procedure for reversal of colostomy closes a hole in the abdomen and restores the normal process of elimination of the intestine.