Hartmann's Procedure or Primary Anastomosis for Generalized Peritonitis due to Perforated Diverticulitis: A Prospective Multicenter Randomized Trial (DIVERTI)

Resection with primary anastomosis vs nonrestorative resection for perforated diverticulitis with peritonitis: a systematic review and meta‐analysis

“…Morbidity after ostomy reversal was reported in the three RCTs and one observational study (96 PRA vs 98 NRR) . Among‐study heterogeneity was low ( I 2 = 0%); hence, a fixed‐effects model was utilized.…”

“…Organ/space SSI was reported as intra‐abdominal infection , intra‐abdominal abscess or secondary peritonitis , or intra‐abdominal collection . The organ/space SSI rate was reported in three RCTs and two observational studies (170 PRA vs 231 NRR) . Among‐study heterogeneity was low ( I 2 = 0%) and a fixed‐effects model was utilized.…”

Randomized clinical trial of elective resection versus observation in diverticulitis with extraluminal air or abscess initially managed conservatively

“…antibiotics and CT‐guided percutaneous drainage if needed, gained acceptance. Although immediate operative management used to entail a colostomy, which constituted a robust argument in favour of non‐operative management, recent studies have supported primary anastomosis or laparoscopic lavage.…”

Recurrent Acute Diverticulitis: When to Operate?

“…Of note, receiving a protective stoma was at the discretion of the surgeon, whereby two-thirds of patients in the primary anastomosis group ended up receiving a protective stoma and one-third did not. Morbidity in the stoma subgroup was higher, but this result was likely biased since, in the subgroup that did not receive a stoma, all but one had grade III Hinchey diverticulitis [46]. …”