Praxis
-
Despite modern therapeutical options,perforated sigma diverticulitis still represents a life-threatening disease. In terms of diagnostic and therapeutic proceeding, the covered perforation has to be distinguished from free perforation. Primary therapeutic objective is the excision of the inflamed bowel segment to avoid abdominal sepsis. ⋯ Individual decision making should be based on individual risk profile, on peritonitis severity score and on surgeon experience. In a two stage procedure, relevant morbidity of the second operation has to be considered. Recently suggested approaches,laparoscopic lavage or interventional drainage without resection, remain a matter of debate.
-
Spinal metastases are a common concomitant phenomenon of advanced tumor disease. Beside the lung and liver, the spine is the third most common localization of manifestation. ⋯ The indication for surgery should be determined individually in an interdisciplinary consultation. The purpose of this article was to provide a brief overview regarding diagnostics and therapy of metastatic spine tumors.