Laparoscopic Lavage for Perforated Diverticulitis With Purulent Peritonitis

Thornell, Anders; Bisgaard, Thue; Bock, David; Burcharth, Jakob; Heath, Jane; Pommergaard, Hans‐Christian; Rosenberg, Jacob; Stilling, Nicolaj M.; Skullman, S.; Haglind, Eva

doi:10.7326/m15-1210

Cited by 90 publications

(88 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As a result, patients with purulent peritonitis were commonly misclassified as having colonic or pelvic abscesses. This is particularly relevant now, as multiple investigators seek to understand the appropriate role of laparoscopic lavage in Hinchey III diverticulitis 109110111…”

Section: Imagingmentioning

confidence: 99%

“…The hope is that these patients could be treated with laparoscopic lavage without needing repair or resection of a gastrointestinal defect. Three recent RCTs have examined this approach in perforated diverticulitis, randomizing about 350 patients with purulent peritonitis to laparoscopic lavage or sigmoidectomy 109110111. All three trials excluded hemodynamically unstable patients and those with feculent peritonitis.…”

Section: Managementmentioning

confidence: 99%

See 1 more Smart Citation

Secondary peritonitis: principles of diagnosis and intervention

Ross

Matthay

Harris

2018

BMJ

View full text Add to dashboard Cite

Secondary peritonitis accounts for 1% of urgent or emergent hospital admissions and is the second leading cause of sepsis in patients in intensive care units globally. Overall mortality is 6%, but mortality rises to 35% in patients who develop severe sepsis. Despite the dramatic growth in the availability and use of imaging and laboratory tests, the rapid diagnosis and early management of peritonitis remains a challenge for physicians in emergency medicine, surgery, and critical care. In this article, we review the pathophysiology of peritonitis and its potential progression to sepsis, discuss the utility and limitations of the physical examination and laboratory and radiographic tests, and present a paradigm for the management of secondary peritonitis.

show abstract

Section: Imagingmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Secondary peritonitis: principles of diagnosis and intervention

Ross

Matthay

Harris

2018

BMJ

View full text Add to dashboard Cite

show abstract

“…In the laparoscopic era, colorectal surgeons may agree to attempt laparoscopic management of colorectal perforation following colonoscopy, diverticulitis, and anastomotic leakage [12], [13], [14], [15]. The SCANDIV trial showed that laparoscopic lavage for perforated diverticulitis is no better than conventional operations; laparoscopic lavage did not reduce morbidity and had worse outcomes, such as high reoperation rate and missing carcinoma [12].…”

Section: Discussionmentioning

confidence: 99%

Rectal free perforation after stapled hemorrhoidopexy: A case report of laparoscopic peritoneal lavage and repair without stoma

Ryu

Bae

2017

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…In the laparoscopic era, colorectal surgeons may agree to attempt laparoscopic management of colorectal perforation following colonoscopy, diverticulitis, and anastomotic leakage [9][10][11][12]. The SCANDIV trial showed that laparoscopic lavage for perforated diverticulitis is no better than conventional operations; laparoscopic lavage did not reduce morbidity and had worse outcomes, such as high reoperation rate and missing carcinoma [9].…”

Section: Discussion:-mentioning

confidence: 99%