Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr;82(4):810-813.
doi: 10.1097/TA.0000000000001390.

What is the current role of laparoscopic lavage in perforated diverticulitis?

Walter L Biffl  1 , Frederick A Moore, Ernest E Moore
Affiliations

What is the current role of laparoscopic lavage in perforated diverticulitis?

Walter L Biffl et al. J Trauma Acute Care Surg. 2017 Apr.

Abstract

Patients with perforated diverticulitis suffer high morbidity and mortality. For decades, sigmoid colectomy with colostomy (Hartman’s procedure) has been considered the standard surgical management. Over the past several years, less-morbid alternatives have been advocated. Laparoscopic lavage showed promise in retrospective studies. However, recent prospective randomized clinical trials have suggested that outcomes may not be better compared with the Hartman’s procedure. A critical analysis of the literature leads the authors to the conclusion that there is still a role for laparoscopic lavage in selected patients, as a bridge to elective colectomy or, in some cases, as definitive management.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest related to this manuscript.

Comment in

References

    1. Moore FA, Moore EE, Burlew CC, Coimbra R, McIntyre RC, Jr, Davis JW, Sperry J, Biffl WL. Western Trauma Association critical decisions in trauma: Management of complicated diverticulitis. J Trauma Acute Care Surg. 2012;73(6):1365–1371. - PubMed
    1. Ashfar S, Kurer MA. Laparoscopic peritoneal lavage for perforated sigmoid diverticulitis. Colorectal Dis. 2012;14(2):135–142. - PubMed
    1. Myers E, Hurley M, O’Sullivan GC, Kavanagh D, Wilson I, Winter DC. Laparoscopic peritoneal lavage for generalized peritonitis due to perforated diverticulitis. Br J Surg. 2008;95(1):97–101. - PubMed
    1. Vennix S, Musters GD, Mulder IM, Swank HA, Consten EC, Belgers EH, van Geloven AA, Gerhards MF, Govaert MJ, van Grevenstein WM, et al. Laparoscopic peritoneal lavage or sigmoidectomy for perforated diverticulitis with purulent peritonitis: A multicentre, parallel-group, randomised, open-label trial. Lancet. 2015;386(10000):1269–1277. - PubMed
    1. Schutz JK, Yaqub S, Wallon C, Blecic L, Forsmo HM, Folkesson J, Buchwald P, Körner H, Dahl FA, Øresland T, et al. Laparoscopic lavage vs primary resection for acute perforated diverticultis: The SCANDIV randomized clinical trial. JAMA. 2015;314(13):1364–1375. - PubMed