Examinando por Autor "García Pinos, Lisseth Cristina"
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- ÍtemAcceso AbiertoManejo de la diverticulitis sigmoidea complicada. Colostomía de Hartmann versus Anastomosis Primaria. Revisión Sistemática(Universidad Católica de Cuenca., 2023) García Pinos, Lisseth Cristina; Urgilés Rivas, Marco; 0302916663; ., .Complicated diverticulitis is a common disorder in our population, with a prevalence of 71% of hospital admissions in patients with a mean age of 64.7± 15.5 years. Complicated acute diverticulitis comprises 22.86% of cases, and uncomplicated diverticulitis is 77.14%. Complicated forms increase patient morbidity and mortality rates; however, surgical management is still controversial in carrying out Hartmann’s colostomy vs. primary anastomosis, and there are no specific guidelines for performing such a procedure. Objective: To determine the effectiveness of surgical management of complicated diverticulitis related to resection and primary anastomosis vs Hartmann's colostomy. Methods: Systematic, qualitative, descriptive, and analytical reviews using virtual Medline, PubMed, Google Scholar, Embase, Cochrane, and Elicit databases that relied on high-impact articles published in the last five years. Results: A total of 139,496 studies were obtained; after applying the PRISMA method, 30 articles were chosen from the virtual database that met the search criteria. Conclusions: The results of Hartmann's procedure suggest that sigmoidectomy with primary anastomosis (PA) has a lower mortality rate than Hartmann's procedure (HP). PA is shown in stable patients who do not meet sepsis criteria; HP is the therapeutic approach in patients who are hemodynamically unstable and require direct intervention. However, it remains controversial, but both surgical techniques are acceptable for treating complicated diverticulitis.