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Grand Rounds Paper of the Week

Grand Rounds Paper of the Week. Dr Richard Downey Ms McNamara service. Laparoscopic Sigmoid Resection for Diverticulitis Decreases Major Morbidity Rates: A Randomized Control Trial. Short term Results of the Sigma Trial Bastiaan R. Klarenbeek MD et al Annals of Surgery, January 2009

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Grand Rounds Paper of the Week

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  1. Grand RoundsPaper of the Week Dr Richard Downey Ms McNamara service

  2. Laparoscopic Sigmoid Resection for Diverticulitis Decreases Major Morbidity Rates: A Randomized Control Trial • Short term Results of the Sigma Trial • Bastiaan R. Klarenbeek MD et al • Annals of Surgery, January 2009 • Ann Surg 2009; 249: 39-44

  3. Background • No RCT has compared laparoscopic sigmoid resection (LSR) to open sigmoid resection (OSR) for symptomatic diverticulitis • Prospective, multicentre, double blind RCT • Endpoints • Post op mortality, major and minor complications • Symptomatic diverticulitis of sigmoid colon • Hinchey ǀ,ǁa,ǁb, symptomatic stricture and severe rectal bleeding

  4. Results • 2002-06 , 104 patients in 5 centres • 52 similiar patients each group • LSR- longer, less blood loss • Major comp > in OSR • Minor comp similiar • LSR patients • Less pain, less analgesia requirement, home earlier and better post op quality of life Thank you

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