Operative strategies for perforated diverticulitis. A systematic review and meta-analysis. Dis Colon Rectum 2018; 61: 1442-1453.
Published: 21st June 2019
Authors: Acuna SA, Wood T, Chesney TR, Dossa F, Wexner SDS, Quereshy F et al.
Six trials including 626 patients were included. Laparoscopic lavage was associated with higher rates of major complications (relative risk 1.68, 95 per cent confidence interval 1.1 to 2.56). Complication rates were similar after Hartmann’s procedure and primary resection with anastomosis, but patients who had the latter procedure were more likely to be stoma-free after one year.Pubmed Link
You may also be interested in
Long-term outcome of surgery versus conservative management for recurrent and ongoing complaints after an episode of diverticulitis. 5-year follow-up results of a multicenter randomized controlled trial (DIRECT-Trial). Ann Surg 2019; 269: 612-620.
Authors: Bolkenstein HE, Consten ECJ, van der Palen J, van de Wall BJ, Broeders IA, Bemelman WA et al.
The role of antibiotics in acute uncomplicated diverticulitis: A systematic review and meta-analysis. Am J Surg 2018; 216: 604–609.
Authors: Mocanu V, Dang JT, Switzer N, Tavakoli I, Tian C, de Gara C et al.
Hartmann’s procedure or primary anastomosis for generalized peritonitis due to perforated diverticulitis: a prospective multicenter randomized trial (DIVERTI). J Am Coll Surg 2017; 225: 798-805.
Authors: Bridoux V, Regimbeau JM, Ouassi M, Mathonnet M, Mauvais F, Houivet E et al.
Laparoscopic lavage versus primary resection for acute perforated diverticulitis: review and meta-analysis. Ann Surg 2018; 267: 252-258.
Authors: Penna M, Markar SR, Mackenzie H, Hompes R, Cunningham C
Laparoscopic lavage in the management of Hinchey Grade III diverticulitis: a Systematic review. Ann Surg 2017; 265: 670-676.
Authors: Marshall J, Buchwald P, Gandhi J, Schultz JK, Hider PN, Frizelle F et al.
Surgery versus conservative treatment for recurrent and ongoing left-sided diverticulitis (DIRECT Trial): an open-label, multicentre, randomised controlled trial. Lancet Gastroenterol Hepatol 2017; 2: 13-22.
Authors: Van de Wall BJM, Stam MAW, Draaisma WA, Stellato R, Bemelman WA, Boermeester MA et al.
Laparoscopic lavage is feasible and safe for the treatment of perforated diverticulitis with purulent peritonitis: the first results from the randomized controlled trial DILALA. Ann Surg 2016; 263: 117-122.
Authors: Angenete E, Thornell A, Burcharth J, Pommergaard H-C, Skullman S, Bisgaard T et al. et al.
Laparoscopic peritoneal lavage or sigmoidectomy for perforated diverticulitis with purulent peritonitis: a multicentre, parallel-group, randomised, open-label trial. Lancet 2015; 386:1269–1277.
Authors: Vennix S, Muster GD, Mulder IM, Swank HA, Consten EC, Belgers EH et al on behalf of the Ladies trial collaborators et al.
Laparoscopic lavage vs primary resection for acute perforated diverticulitis. The SCANDIV randomized clinical trial. JAMA. 2015; 314: 1364-1375.
Authors: Schultz JK, Yaqub S, Wallon C, Blecic L, Mjørud Forsmo H, Folkesson J et al for the SCANDIV Study Group et al.
High-dose barium impaction therapy for the recurrence of colonic diverticular bleeding: a randomized controlled trial. Ann Surg 2015; 261: 269-275.
Authors: Nagata N, Niikura R, Shimbo T, Ishizuka N, Yamano K, Mizuguchi K et al. et al.
Outpatient versus hospitalization management for uncomplicated diverticulitis: a prospective, multicentre randomized clinical trial (DIVER Trial). Ann Surg 2014; 259: 38-44.
Authors: Biondo S, Golda T, Kreisler E, Espin E, Vallribera F, Oteiza F et al. et al.
A multicenter randomized clinical trial of primary anastomosis or Hartmann’s procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis. Ann Surg 2012; 256: 819–827.
Authors: Oberkofler CE, Rickenbacher A, Raptis DA, Lehmann K, Villiger P, Buchli C et al.