Our Summary

This research paper compares two types of surgery for a condition called diverticular disease (DD): single-incision laparoscopic surgery (SILS) and open sigmoidectomy. The study analyzed pairs of patients who were matched in terms of age, sex, body mass index, previous surgeries, and the severity of their DD. The results showed that SILS was just as effective as open surgery in terms of complications. Additionally, SILS had some advantages over open surgery: patients had less pain after the procedure, spent less time in the hospital and in intensive care, needed fewer blood transfusions, and were less likely to need strong painkillers. The time until patients could have their first bowel movement, the rate of needing a stoma (an artificial opening for waste removal), and the rates of illness and death were similar for both types of surgery.

FAQs

  1. What is the difference in effectiveness between SILS and open sigmoidectomy in treating diverticular disease?
  2. What are the advantages of SILS over open sigmoidectomy for patients with diverticular disease?
  3. Are there any differences in post-operative recovery between SILS and open sigmoidectomy?

Doctor’s Tip

One helpful tip a doctor might tell a patient about sigmoidectomy is to discuss the potential benefits of single-incision laparoscopic surgery (SILS) compared to traditional open surgery. SILS may result in less pain, shorter hospital stays, and fewer complications, making it a favorable option for some patients. It is important to have a thorough discussion with your surgeon about the best surgical approach for your specific situation.

Suitable For

Patients with diverticular disease who are recommended for sigmoidectomy typically have severe symptoms that have not responded to conservative treatments such as dietary changes, fiber supplements, and medications. These symptoms may include recurrent episodes of diverticulitis (inflammation of the diverticula), chronic abdominal pain, bowel obstruction, fistulas (abnormal connections between organs), or abscesses. Patients with complications such as perforation (tearing) of the colon, peritonitis (inflammation of the abdominal lining), or significant bleeding may also require sigmoidectomy to prevent further complications and improve their quality of life. Additionally, patients with a history of recurrent diverticulitis or complications may benefit from surgery to prevent future episodes and reduce the risk of serious complications.

Timeline

Before sigmoidectomy:

  1. Patient is diagnosed with diverticular disease (DD) after experiencing symptoms such as abdominal pain, bloating, and changes in bowel habits.
  2. Patient undergoes various tests and evaluations to confirm the diagnosis and determine the severity of the condition.
  3. Patient discusses treatment options with their healthcare provider, including the possibility of sigmoidectomy surgery to remove the affected portion of the colon.
  4. Patient undergoes pre-operative preparations, including fasting, bowel preparation, and possibly antibiotics to reduce the risk of infection.

After sigmoidectomy:

  1. Patient undergoes the sigmoidectomy surgery, either through open surgery or single-incision laparoscopic surgery (SILS).
  2. Patient spends a few days in the hospital for recovery and monitoring.
  3. Patient may experience some pain and discomfort after the surgery, but this is typically managed with medication.
  4. Patient gradually resumes normal activities and follows a specific diet plan to promote healing and prevent complications.
  5. Patient attends follow-up appointments with their healthcare provider to monitor their recovery and address any concerns or complications.
  6. Patient gradually resumes their regular diet and exercise routine, with the goal of improving their overall health and well-being post-surgery.

What to Ask Your Doctor

  1. What is the reason for recommending a sigmoidectomy for my diverticular disease?
  2. What are the potential risks and complications associated with a sigmoidectomy surgery?
  3. How long is the recovery process after a sigmoidectomy surgery?
  4. Will I need to make any lifestyle changes or follow a specific diet after the surgery?
  5. What is the success rate of a sigmoidectomy surgery for diverticular disease?
  6. Are there any alternative treatment options to consider before deciding on a sigmoidectomy?
  7. How many sigmoidectomy surgeries have you performed, and what is your experience with this procedure?
  8. Will I need to have a stoma after the surgery, and if so, is it temporary or permanent?
  9. How long will I need to stay in the hospital after a sigmoidectomy surgery?
  10. What is the expected outcome in terms of symptom relief and quality of life after the surgery?

Reference

Authors: Galetin A, Rink AD, Vestweber B, Vestweber KH, Galetin T. Journal: Dig Surg. 2020;37(1):56-64. doi: 10.1159/000497449. Epub 2019 Mar 28. PMID: 30921802