The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

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.

Published: 17th May 2018

Authors: Bridoux V, Regimbeau JM, Ouassi M, Mathonnet M, Mauvais F, Houivet E et al.

Conclusion

One hundred and two patients were included and followed for 18 months. Mortality rates were similar after Hartmann’s (7.7 per cent) versus primary anastomosis (4 per cent); P= 0.42. Morbidity rates were also similar. Stoma reversal rates were 65 and 96 per cent, respectively; P=0.0001.

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