Abstract
Introduction: Diverticular disease affects more than 60% of adults aged older than 70. The lifetime prevalence of diverticulitis is 4%-25%, 20% of which will experience severe complications, and 1% will require emergent surgery. We review the most relevant literature regarding the management of complicated acute diverticulitis with laparoscopic lavage and drainage (LLD). Discussion: Hartmann Procedure (HP) is considered the current gold standard for treating complicated diverticulitis; it is associated with a high mortality and morbidity. LLD is reported to improve outcomes. In addition, it may act either as a definitive procedure or as a bridge and allow for a latter elective sigmoidectomy. There is only one preliminary report of a prospective randomized trial regarding this matter (DILALA trial) which fails to demonstrate decreased morbidity and mortality between LLD vs. HP.
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Schedule a callMore From: Journal of Gastric Disorders and Therapy ( ISSN 2381-8689 )
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