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Review Article| Volume 54, P1-16, September 2020

Controversies in the Management of Diverticulitis

      Urgent/emergent surgery for patients with peritonitis secondary to Hinchey III/IV diverticulitis carries significant morbidity and mortality.

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      References

        • Cirocchi R.
        • Afshar S.
        • Di Saverio S.
        • et al.
        A historical review of surgery for peritonitis secondary to acute colonic diverticulitis: from Lockhart-Mummery to evidence-based medicine.
        World J Emerg Surg. 2017; 12: 14
        • Kohl A.
        • Rosenberg J.
        • Bock D.
        • et al.
        Two-year results of the randomized clinical trial DILALA comparing laparoscopic lavage with resection as treatment for perforated diverticulitis.
        Br J Surg. 2018; 105: 1128-1134
        • Ronel D.N.
        • Hardy M.A.
        Henri Albert Hartmann: labor and discipline.
        Curr Surg. 2002; 59: 59-64
        • van Gulik T.M.
        • Mallonga E.T.
        • Taat C.W.
        Henri Hartmann, lord of the Hotel-Dieu.
        Neth J Surg. 1986; 38: 45-47
        • Nunes G.C.
        • Robnett A.H.
        • Kremer R.M.
        • et al.
        The Hartmann procedure for complications of diverticulitis.
        Arch Surg. 1979; 114: 425-429
        • Salem L.
        • Flum D.R.
        Primary anastomosis or Hartmann's procedure for patients with diverticular peritonitis? A systematic review.
        Dis Colon Rectum. 2004; 47: 1953-1964
        • Constantinides V.A.
        • Tekkis P.P.
        • Athanasiou T.
        • et al.
        Primary resection with anastomosis vs. Hartmann's procedure in nonelective surgery for acute colonic diverticulitis: a systematic review.
        Dis Colon Rectum. 2006; 49: 966-981
        • Feingold D.
        • Steele S.R.
        • Lee S.
        • et al.
        Practice parameters for the treatment of sigmoid diverticulitis.
        Dis Colon Rectum. 2014; 57: 284-294
        • Simianu V.V.
        • Strate L.L.
        • Billingham R.P.
        • et al.
        The impact of elective colon resection on rates of emergency surgery for diverticulitis.
        Ann Surg. 2016; 263: 123-129
        • Irons R.F.
        • Kwiatt M.E.
        • Minarich M.J.
        • et al.
        Impact of operative delay on sepsis and mortality in patients with acute diverticulitis.
        Ann Colorectal Res. 2017; 5: e48494
        • Jovani M.
        • Genco C.
        • Bravatà I.
        • et al.
        Stents in the management of benign colorectal strictures.
        Tech Gastrointest Endosc. 2014; 16: 135-141
        • Heald R.J.
        The 'Holy Plane' of rectal surgery.
        J R Soc Med. 1988; 81: 503-508
        • Kafka-Ritsch R.
        • Birkfellner F.
        • Perathoner A.
        • et al.
        Damage control surgery with abdominal vacuum and delayed bowel reconstruction in patients with perforated diverticulitis Hinchey III/IV.
        J Gastrointest Surg. 2012; 16: 1915-1922
        • Sohn M.A.
        • Agha A.
        • Steiner P.
        • et al.
        Damage control surgery in perforated diverticulitis: ongoing peritonitis at second surgery predicts a worse outcome.
        Int J Colorectal Dis. 2018; 33: 871-878
        • Coccolini F.
        • Montori G.
        • Ceresoli M.
        • et al.
        The role of open abdomen in non-trauma patient: WSES Consensus Paper.
        World J Emerg Surg. 2017; 12: 39
        • Oberkofler C.E.
        • Rickenbacher A.
        • Raptis D.A.
        • et al.
        A multicenter randomized clinical trial of primary anastomosis or Hartmann's procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis.
        Ann Surg. 2012; 256 ([discussion: 26–7]): 819-826
        • Binda G.A.
        • Karas J.R.
        • Serventi A.
        • et al.
        Primary anastomosis vs nonrestorative resection for perforated diverticulitis with peritonitis: a prematurely terminated randomized controlled trial.
        Colorectal Dis. 2012; 14: 1403-1410
        • Lambrichts D.P.V.
        • Vennix S.
        • Musters G.D.
        • et al.
        Hartmann's procedure versus sigmoidectomy with primary anastomosis for perforated diverticulitis with purulent or faecal peritonitis (LADIES): a multicentre, parallel-group, randomised, open-label, superiority trial.
        Lancet Gastroenterol Hepatol. 2019; 4: 599-610
        • Gawlick U.
        • Nirula R.
        Resection and primary anastomosis with proximal diversion instead of Hartmann's: evolving the management of diverticulitis using NSQIP data.
        J Trauma Acute Care Surg. 2012; 72 ([quiz: 1124]): 807-814
        • Lee J.M.
        • Bai P.C.J.
        • El Hechi M.
        • et al.
        Hartmann's procedure vs primary anastomosis with diverting loop ileostomy for acute diverticulitis: nationwide analysis of 2,729 emergency surgery patients.
        J Am Coll Surg. 2019; 229: 48-55
        • Ballian N.
        • Rajamanickam V.
        • Harms B.A.
        • et al.
        Predictors of mortality after emergent surgery for acute colonic diverticulitis: analysis of National Surgical Quality Improvement Project data.
        J Trauma Acute Care Surg. 2013; 74: 611-616
        • Gregersen R.
        • Andresen K.
        • Burcharth J.
        • et al.
        Short-term mortality, readmission, and recurrence in treatment of acute diverticulitis with abscess formation: a nationwide register-based cohort study.
        Int J Colorectal Dis. 2016; 31: 983-990
        • Constantinides V.A.
        • Tekkis P.P.
        • Senapati A.
        • Association of Coloproctology of Great Britain Ireland
        Prospective multicentre evaluation of adverse outcomes following treatment for complicated diverticular disease.
        Br J Surg. 2006; 93: 1503-1513
        • Oomen J.L.
        • Engel A.F.
        • Cuesta M.A.
        Mortality after acute surgery for complications of diverticular disease of the sigmoid colon is almost exclusively due to patient related factors.
        Colorectal Dis. 2006; 8: 112-119
        • Tyler J.A.
        • Fox J.P.
        • Dharmarajan S.
        • et al.
        Acute health care resource utilization for ileostomy patients is higher than expected.
        Dis Colon Rectum. 2014; 57: 1412-1420
        • Silva-Velazco J.
        • Stocchi L.
        • Costedio M.
        • et al.
        Is there anything we can modify among factors associated with morbidity following elective laparoscopic sigmoidectomy for diverticulitis?.
        Surg Endosc. 2016; 30: 3541-3551
        • Kirchhoff P.
        • Matz D.
        • Dincler S.
        • et al.
        Predictive risk factors for intra- and postoperative complications in 526 laparoscopic sigmoid resections due to recurrent diverticulitis: a multivariate analysis.
        World J Surg. 2011; 35: 677-683
        • Ilyas M.I.
        • Zangbar B.
        • Nfonsam V.N.
        • et al.
        Are there differences in outcome after elective sigmoidectomy for diverticular disease and for cancer? A national inpatient study.
        Colorectal Dis. 2017; 19: 260-265
        • Zingg U.
        • Pasternak I.
        • Dietrich M.
        • et al.
        Primary anastomosis vs Hartmann's procedure in patients undergoing emergency left colectomy for perforated diverticulitis.
        Colorectal Dis. 2010; 12: 54-60
        • Bridoux V.
        • Regimbeau J.M.
        • Ouaissi M.
        • et al.
        Hartmann's procedure or primary anastomosis for generalized peritonitis due to perforated diverticulitis: a prospective multicenter randomized trial (DIVERTI).
        J Am Coll Surg. 2017; 225: 798-805
        • Li D.
        • Baxter N.N.
        • McLeod R.S.
        • et al.
        Evolving practice patterns in the management of acute colonic diverticulitis: a population-based analysis.
        Dis Colon Rectum. 2014; 57: 1397-1405
        • Vennix S.
        • Boersema G.S.
        • Buskens C.J.
        • et al.
        Emergency laparoscopic sigmoidectomy for perforated diverticulitis with generalised peritonitis: a systematic review.
        Dig Surg. 2016; 33: 1-7
        • Vennix S.
        • Lips D.J.
        • Di Saverio S.
        • et al.
        Acute laparoscopic and open sigmoidectomy for perforated diverticulitis: a propensity score-matched cohort.
        Surg Endosc. 2016; 30: 3889-3896
        • Turley R.S.
        • Barbas A.S.
        • Lidsky M.E.
        • et al.
        Laparoscopic versus open Hartmann procedure for the emergency treatment of diverticulitis: a propensity-matched analysis.
        Dis Colon Rectum. 2013; 56: 72-82
        • Halim H.
        • Askari A.
        • Nunn R.
        • et al.
        Primary resection anastomosis versus Hartmann's procedure in Hinchey III and IV diverticulitis.
        World J Emerg Surg. 2019; 14: 32
        • Cauley C.E.
        • Patel R.
        • Bordeianou L.
        Use of primary anastomosis with diverting ileostomy in patients with acute diverticulitis requiring urgent operative intervention.
        Dis Colon Rectum. 2018; 61: 586-592
        • Goldstone R.N.
        • Cauley C.E.
        • Chang D.C.
        • et al.
        The effect of surgical training and operative approach on outcomes in acute diverticulitis: should guidelines be revised?.
        Dis Colon Rectum. 2019; 62: 71-78
        • van de Wall B.J.
        • Draaisma W.A.
        • Schouten E.S.
        • et al.
        Conventional and laparoscopic reversal of the Hartmann procedure: a review of literature.
        J Gastrointest Surg. 2010; 14: 743-752
        • Salem L.
        • Anaya D.A.
        • Roberts K.E.
        • et al.
        Hartmann's colectomy and reversal in diverticulitis: a population-level assessment.
        Dis Colon Rectum. 2005; 48: 988-995
        • Aquina C.T.
        • Probst C.P.
        • Becerra A.Z.
        • et al.
        The impact of surgeon volume on colostomy reversal outcomes after Hartmann's procedure for diverticulitis.
        Surgery. 2016; 160: 1309-1317
        • Riansuwan W.
        • Hull T.L.
        • Millan M.M.
        • et al.
        Nonreversal of Hartmann's procedure for diverticulitis: derivation of a scoring system to predict nonreversal.
        Dis Colon Rectum. 2009; 52: 1400-1408
        • Horesh N.
        • Lessing Y.
        • Rudnicki Y.
        • et al.
        Considerations for Hartmann's reversal and Hartmann's reversal outcomes–a multicenter study.
        Int J Colorectal Dis. 2017; 32: 1577-1582
        • Francis N.K.
        • Sylla P.
        • Abou-Khalil M.
        • et al.
        EAES and SAGES 2018 consensus conference on acute diverticulitis management: evidence-based recommendations for clinical practice.
        Surg Endosc. 2019; 33: 2726-2741