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Functional Outcomes of Emergency Surgery for Perforated Diverticulitis, Hinchey Grade III
BackgroundLaparoscopic lavage as a treatment for perforated diverticulitis, Hinchey III, has been found safe and feasible in randomized trials. A few...
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The influence of preoperative e intraoperative factors in predicting postoperative morbidity and mortality in perforated diverticulitis: a systematic review and meta-analysis
To determine if preoperative-intraoperative factors such as age, comorbidities, American Society of Anesthesiologists (ASA) classification, body mass...
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Role of protective stoma after primary anastomosis for generalized peritonitis due to perforated diverticulitis—DIVERTI 2 (a prospective multicenter randomized trial): rationale and design (nct04604730)
BackgroundTraditionally, patients with peritonitis Hinchey III and IV due to perforated diverticulitis were treated with Hartmann’s procedure. In the...
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Laparoscopic peritoneal lavage versus sigmoidectomy for perforated diverticulitis with purulent peritonitis: three-year follow-up of the randomised LOLA trial
BackgroundThis study aimed to compare laparoscopic lavage and sigmoidectomy as treatment for perforated diverticulitis with purulent peritonitis...
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Inadvertent laparoscopic lavage of perforated colon cancer: a systematic review
BackgroundAlthough laparoscopic lavage for perforated diverticulitis with peritonitis has been grabbing the headlines, it is known that the clinical...
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Distant free air is not a contraindication for definitive laparoscopic treatment of acute perforated diverticulitis: a multi-center experience
The paradigm of emergency laparotomy with sigmoid resection and protective stoma has been challenged for perforated diverticular disease (PDD) with...
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Free perforation during the first episode of acute diverticulitis: can it be avoided?
The aims of the present study are to compare the severity of acute diverticulitis in the first episode and in later bouts, and to determine whether...
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Is the Hartmann’s procedure for diverticulitis obsolete? National trends in colectomy for diverticulitis in the emergency setting from 1993 to 2018
BackgroundHistorically, Hartmann’s procedure (HP) has been the operation of choice for diverticulitis in the emergency setting. However, recent...
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Damage control strategy in perforated diverticulitis with generalized peritonitis
BackgroundThe best treatment for perforated colonic diverticulitis with generalized peritonitis is still under debate. Concurrent strategies are...
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Intraperitoneal abscess from perforated diverticulitis with fistualization to extraperitoneal abscess into the scrotum: a case report
BackgroundScrotal abscesses are common skin abscesses seen in the general population; however, intraperitoneal abscesses tracking into the scrotum...
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Acute diverticulitis with extraluminal air: is conservative treatment sufficient? A single-center retrospective study
BackgroundAcute diverticulitis with extraluminal air constitutes a heterogeneous condition whose management is controversial. The aims of this study...
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Diverticulitis, surgery, evidence-based medicine, and the Steve Jobs’ dots: a narrative review
PurposeEmergency treatment of acute diverticulitis remains a hazy field. Despite a number of clinical studies, randomized controlled trials (RCTs),...
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Laparoscopic resection and primary anastomosis for perforated diverticulitis: with or without loop ileostomy?
BackgroundEvidence is growing about the benefits of laparoscopic resection with primary anastomosis (RPA) in perforated diverticulitis. However, the...
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Systematic review and meta-analysis of the management of acute uncomplicated diverticulitis: time to change traditional practice
BackgroundTo evaluate comparative outcomes of outpatient (OP) versus inpatient (IP) treatment and antibiotics (ABX) versus no antibiotics (NABX)...
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Long-term outcomes of Hartmann’s procedure versus primary anastomosis for generalized peritonitis due to perforated diverticulitis: follow-up of a prospective multicenter randomized trial (DIVERTI)
BackgroundSurgical management of Hinchey III and IV diverticulitis involves Hartmann’s procedure (HP) or primary resection anastomosis (PRA) with or...
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Management of perforated diverticulitis with generalized peritonitis. A multidisciplinary review and position paper
Perforated diverticulitis is an emergent clinical condition and its management is challenging and still debated. The aim of this position paper was...
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Effects of sarcopenia and myosteatosis are alleviated in reduced port surgery for diverticulitis
PurposeMany studies report the predictive value of sarcopenia, myosteatosis, and visceral fat for clinical outcome after surgery. Radiological...
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Long-term outcomes and risk factors for diverticulitis recurrence after a successful laparoscopic peritoneal lavage in Hinchey III peritonitis
PurposeRecently, treatment of Hinchey III diverticulitis by laparoscopic peritoneal lavage has been questioned. Moreover, long-term outcomes have...
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Surgery for young onset diverticulitis: is it curative?
PurposePreviously considered a disease of old age, diverticular disease is increasingly prevalent in younger populations. Guidelines on surgical...
