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Diverticulosis
and Laparoscopic Treatment
Diverticulosis of the colon is bubble like protrusions within the
wall of the intestine. This protrusion is thought to be caused by
constant straining due to constipation, low fiber diet, and refined
foods. Over time the weakened wall “out-pouching” can become
infected with stool or undigested food and can harbor bacteria
causing an “attack”. People who experience an attack can have
fever, abdominal pain, several-day-constipation, and/or bleeding. If
you have had at least one documented attack (hospitalization) and
medical management with diet modification have been unsuccessful,
you may need surgery to remove (resect) the defective portion of the
colon. Once a person has had an attack they are susceptible to more
frequent attacks and possible perforation. Perforation is when the
diverticula are under so much stress or the intestinal wall is so
weakened that it actually ruptures into the abdominal cavity causing
peritonitis. Surgical treatment in that instance is emergent. Before
a situation becomes emergent, elective surgery can be performed. A
gastroenterologist will perform a colon exam (Flexible colonoscopy/
Barium Enema) and/or CT scan to identify where the diverticula are
in the colon and to ensure no other pathology exisits, ie cancer.
With these results Laparoscopic Resection can be considered. In some
cases, partial colectomy can be done as a laparoscopic surgery. In
laparoscopic surgery, several small cuts are made in the abdominal
wall through which instruments and a viewing tube (laparoscope) are
inserted. A camera attached to the viewing tube sends images of the
inside of the abdomen to a television screen which the doctor
watches while using small instruments to perform the surgery. People
who have laparoscopic surgery have shorter recovery times.
Hospitalization ranges 2-3 days verses 5-7 days. Due to less pain
people are able to return to work 2-3 weeks after surgery compared
to 6-8 weeks. If you have been diagnosed with diverticulosis and
want more information about laparoscopic surgery please call
239-495-3990. This medical update has been brought to you by Dr.
Mark E. Petrites, M.D. a board certified general surgeon practicing
advanced laparoscopic surgery.
This medical update is provided to you by Dr. Mark E. Petrites. His
office is located in the Bonita Community Health Center.
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