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Gestione e timing nella chirurgia d’urgenza Fausto Catena MD, PhD, FRCS Parma University Hospital

Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

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Page 1: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

Gestione e timing nella chirurgia d’urgenza

Fausto Catena MD, PhD, FRCS

Parma University Hospital

Page 2: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

Summary

Classification

Diagnosis

Conservative treatment

Role of Surgery

Role of damage control surgery

Page 3: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)
Page 4: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)
Page 5: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)
Page 6: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

WSES Classification

Page 7: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)
Page 8: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

CT scan vs Ultrasound

Page 9: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)
Page 10: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)
Page 11: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

Outpatients clinic

Page 12: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)
Page 13: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)
Page 14: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

Colonoscopy

Page 15: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

Distant air, no fluid

Page 16: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

Laparoscopic lavage

Page 17: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

Hartmann vs PRA

Page 18: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

Laparoscopic approach

Page 19: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

Open abdomen

Page 20: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

Conclusions

Page 21: Gestione e timing nella chirurgia d’urgenza2) The clinical diagnosis of ALCD alone is not sufficiently accurate for patients with suspected diverticulitis (Recommendation 1 C). 3)

Conclusions