Diverticular Disease
Conditions
Brief summary
Transrectal Hybrid natural orifice translumenal endoscopic surgery sigmoidectomy has gained popularity. It is an appealing technique as a minilaparotomy in order to retrieve the specimen is avoided. Therefore less postoperative pain and a better cosmetic result are expected. The feasibility of the technique has been demonstrated. Still an open question is the risk of intraperitoneal contamination as in this procedure the colon has to be opened. This is the case for (a) retrieval of the specimen thru the opened rectal stump and (b) for intracorporeal insertion of the anvil of the circular stapler in order to fashion an anastomosis. In this study the bacterial contamination in the rectal stump as well as in the peritoneal cavity is assessed. The results are compared to bacteriological samples taken in a comparison group consisting of conventional laparoscopic assisted sigmoidectomies.
Interventions
PROCEDURETransrectal sigmoidectomy
Sponsors
Cantonal Hosptal, Baselland
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Status post several episodes of diverticulitis * Status post contained diverticulitis
Exclusion criteria
* not able to give informed consent * \<18 years of age * pregnancy * emergency operation * acute diverticulitis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Peritoneal bacterial contamination | during surgery | microbacteriological swabs |
| Contamination in the rectal stump after wash-out | during surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| septic complications | within 30 days after surgery |
Countries
Switzerland
Contacts
Primary ContactDaniel C Steinemann, MD
Outcome results
None listed