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. 2021 Oct 12:8:717228.
doi: 10.3389/fsurg.2021.717228. eCollection 2021.

Elective Surgery for Diverticulitis in Swiss Hospitals

Seraina Faes  1 , Martin Hübner  1 , Nicolas Demartines  1 , Dieter Hahnloser  1 , David Martin  1 ; Swiss Snapshot Diverticulitis Group
Collaborators, Affiliations

Elective Surgery for Diverticulitis in Swiss Hospitals

Seraina Faes et al. Front Surg. .

Abstract

Objective: To assess current management of diverticulitis in Switzerland. Methods: Prospective observational study of diverticulitis management and outcomes in surgical departments over a 3-month time period. Hospital category was graded according to the Swiss Medical Association (FMH) as: U: University; A: Cantonal; B: Regional; P: Private. Results: 75 participating hospitals treated 1,015 patients, among whom 214 patients (21%) had elective sigmoid resections in 49 hospitals. Indication for elective resection were recurrent diverticulitis, previous complicated diverticulitis, fistulas, and stenosis. Surgeries were performed completely laparoscopically in 185 cases (86%) and required conversion to open in 19 cases (9%). Overall postoperative complication rate was 18% (n = 39) and no mortality was observed. Operation time, surgeons experience and hospital stay differed considerably between hospital categories. Conclusions: Elective sigmoid resection for diverticulitis in Switzerland was mainly performed laparoscopically with low postoperative morbidity. Different practices and outcomes between institutions were observed.

Keywords: Switzerland; diverticulitis; elective surgery; laparoscopy; management.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
(A–C) Elective surgery for diverticulitis: operation time, surgeon's experience and hospital stay according to hospital category. Hospital category defined as: U, University; A, Cantonal; B, Regional; P, Private.
See this image and copyright information in PMC

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