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Scientific article
Open access
English

Elective Surgery for Diverticulitis in Swiss Hospitals

ContributorsFaes, Seraina; Hübner, Martin; Demartines, Nicolas; Hahnloser, Dieter; Martin, David; Swiss Snapshot Diverticulitis Group
CollaboratorsRis, Frédéric
Published inFrontiers in surgery, vol. 8, 717228
Publication date2021
First online date2021-10-12
Abstract

Objective: To assess current management of diverticulitis in Switzerland. Methods: Prospective observational study of diverticulitis management and outcomes in surgical departments over a 3-month time period. Hospital category was graded according to the Swiss Medical Association (FMH) as: U: University; A: Cantonal; B: Regional; P: Private. Results: 75 participating hospitals treated 1,015 patients, among whom 214 patients (21%) had elective sigmoid resections in 49 hospitals. Indication for elective resection were recurrent diverticulitis, previous complicated diverticulitis, fistulas, and stenosis. Surgeries were performed completely laparoscopically in 185 cases (86%) and required conversion to open in 19 cases (9%). Overall postoperative complication rate was 18% (n= 39) and no mortality was observed. Operation time, surgeons experience and hospital stay differed considerably between hospital categories. Conclusions: Elective sigmoid resection for diverticulitis in Switzerland was mainly performed laparoscopically with low postoperative morbidity. Different practices and outcomes between institutions were observed.

eng
Keywords
  • Switzerland
  • Diverticulitis
  • Elective surgery
  • Laparoscopy
  • Management
Citation (ISO format)
FAES, Seraina et al. Elective Surgery for Diverticulitis in Swiss Hospitals. In: Frontiers in surgery, 2021, vol. 8, p. 717228. doi: 10.3389/fsurg.2021.717228
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ISSN of the journal2296-875X
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Creation11/04/2021 10:40:00 AM
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