Treatment of Perforated Diverticulitis with Generalized Peritonitis: Past, Present, and Future
Open Access
- 6 January 2010
- journal article
- research article
- Published by Wiley in World Journal of Surgery
- Vol. 34 (3), 587-593
- https://doi.org/10.1007/s00268-009-0372-0
Abstract
Background The supposed optimal treatment of perforated diverticulitis with generalized peritonitis has changed several times during the last century, but at present is still unclear. Methods/results The first cases of complicated perforated diverticulitis of the colon were reported in the beginning of the twentieth century. At that time the first therapeutic guidelines were postulated in which an initial nonresectional procedure was provided to be the safest plan of management. After many years in which resection had become standard practice, today, one century later, again (laparoscopic) nonresectional surgery is presented as a safe and promising alternative in treatment of complicated perforated diverticulitis. The question rises what had happened to close the circle? Conclusions This paper includes a historic summary of changing patterns in surgical strategies in perforated diverticulitis complicated by generalized peritonitis.Keywords
This publication has 65 references indexed in Scilit:
- Laparoscopic peritoneal lavage for generalized peritonitis due to perforated diverticulitis (Br J Surg 2008; 95: 97–101)British Journal of Surgery, 2008
- Defunctioning Stoma Reduces Symptomatic Anastomotic Leakage After Low Anterior Resection of the Rectum for CancerAnnals of Surgery, 2007
- Perforated diverticulitis: should the method of surgical access to the abdomen determine treatment?Colorectal Disease, 2007
- Feasibility and morbidity of reversal of Hartmann'sColorectal Disease, 2005
- Quality of life with a temporary stomaDiseases of the Colon & Rectum, 2000
- Surgical Treatment of Acute Diverticulitis by Staged ProceduresAnnals of Surgery, 1976
- Potential Dangers of Morphine in Acute Diverticulitis of the ColonBMJ, 1963
- Use of Micro-organisms for Therapeutic PurposesBMJ, 1945
- LATE RESULTS IN DIVERTICULITISThe Lancet, 1938
- DIVERTICULITIS OF THE COLONAnnals of Surgery, 1924