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 versus sigmoidectomy with primary anastomosis for sigmoid diverticulitis with purulent or faecal peritonitis (LADIES): a multicenter, parallel-group, open label superiority trial. Lancet Gastroenterol Hepatol 2019; 4: 599-610

Published: 22nd November 2019

Authors: Lambrichts DPV, Vennix S , Musters GD , Mulder IM , Swank HA , Hoofwijk AGM et al.

Conclusion

Some 130 stable patients were included. At 12 months, stoma-free survival was better after primary anastomosis (94.6 per cent) than Hartmann’s procedure (71.7 per cent); P<0.0001. Respective morbidity rates were similar: 39 versus 44 per cent; P=0.44.

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