Page 141 - Postoperative Intra-Abdominal Adhesions- New insights in prevention and consequences

Table 5. Baseline characteristics. P-value concerns differences between acute and elective operated patients in the responder group.
Long-term follow-up after diverticulitis
Age at operation
Mean follow-up years (SD) Female
Open/Converted
Hinchey 3⁄4
Type Hartmann
Resection with anastomosis
Others
1 ≤ reoperations < 30 days
Located in sigmoid
Postoperative bowel obstruction < 30 days
Postoperative abscess
Responders n= 109 (%)
57.8 7.3 (2.5) 63 (58) 73 (67) 22 (20)
9 (8) 89 (82)
11 (10) 13 (12) 95 (88) 15 (14)
5 (5)
Acute n= 28 (%)
57.7 7.5 (2.2) 17 (61) 28 (100) 20 (71) 7 (25) 15 (54)
6 (21)
4 (14) 23 (85) 5 (18)
2 (7)
Elective n= 81 (%)
57.8 7.2 (2.5) 46 (57) 45 (56) 2 (3) 2 (3) 74 (91)
5 (6) 9 (11) 72 (89) 10 (12)
3 (4)
p-value
0.965 0.594 0.717 <0.001 <0.001 <0.001
0.655 0.609 0.466
0.462
In the whole study population, 49 (18%) patients were re-operated one or more times within 30 days of initial operation because of bleeding (4), anastomotic leakage (11), wound dehiscence (6), open abdomen treatment (3), deep wound infection (3), rinsing of the abdomen (8), replacing ileostomy (2), small bowel obstruction (2) or for other reasons (10). Baseline characteristics are described in Table 2.
In the responder group an end-colostomy was created in 9 patients, a 8 protective ileostomy in 32 and a terminal ileostomy in 8 patients. At
the end of follow-up, the bowel continuity was restored in 33 out of 43
patients (77%). No significant differences in the digestive subscale were
found between the 43 patients with or the 66 without a stoma (Table 3). Additional analysis of the 33 patients in which the bowel continuity was restored did not reveal any differences as well (restored 32,5 vs others 31,6; p = 0,576)
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