Authors reply: Damage control surgery in patients with generalized peritonitis secondary to perforated diverticulitis—the risk of overtreatment
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We highly appreciate the comments by Zizzo and his coworkers. Two years after publishing our study in Techniques of Coloproctology, we can share some additional experience in using damage control surgery (DCS) in patients with perforated diverticulitis. In 2018, we published a retrospective multicenter study evaluating safety and feasibility of the method [1, 2]. In this retrospective analysis, 58 consecutive patients had DCS for perforated diverticular disease, complicated by generalized peritonitis at four surgical centers. At the end of the hospital stay, 29 patients (50%) were free of stoma. The overall morbidity rate was 34%. Six patients(10.3%) developed anastomotic leak. The mortality rate was 9%. At the end of the follow-up, 83% of all patients had their intestinal continuity restored. Thus, we were able to confirm the results of our previous study. At all the four centers in this study, DCS was used in all patients with generalized purulent and feculent peritonitis...
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The authors declare that they have no conflict of interest.
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