Table 3 Operative Procedures

Conservative: perforated colon retained in peritoneal cavity

 1. Suture of perforation

 2. Drainage

 3. Transverse colostomy

 4. Caecostomy

 5. Any combination of 1–4

Radical: perforated colon eliminated from peritoneal cavity

 1. No resection

  • Exteriorization

 2. Resection

  a. Without anastomosis

   • Hartmann’s procedure

   • Sigmoid resection with mucous fistula

   • Paul-Mickulicz procedure

  b. With anastomosis

   • Without defunctioning stoma

   • With defunctioning stoma