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Perforated Diverticulitis: What Are the Options for Resection?

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Current Common Dilemmas in Colorectal Surgery

Abstract

Very few patients admitted for diverticulitis will require emergent surgery, with failure of medical management and free perforation being the most common indications. The surgical management of perforated diverticulitis is still evolving from a three-stage procedure in the mid-twentieth century to either Hartmann’s procedure or primary anastomosis nowadays. The morbidity associated with Hartmann’s reversal has led to increased interest toward primary anastomosis. Although several studies have attempted to determine which approach is most beneficial to the patients, it remains a controversial topic due to the lack of strong evidence. In this chapter, we aim to review the different options for resection in the case of perforated diverticulitis and present the available literature that supports each of them.

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  1. Department of Surgery, St. Paul’s Hospital, University of British Columbia, Vancouver, BC, Canada

    François Letarte & Carl J. Brown

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    Christopher M. Schlachta

  2. Mount Sinai School of Medicine, New York, New York, USA

    Patricia Sylla

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Letarte, F., Brown, C.J. (2018). Perforated Diverticulitis: What Are the Options for Resection?. In: Schlachta, C., Sylla, P. (eds) Current Common Dilemmas in Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-70117-2_12

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