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

Laparoscopic lavage versus primary resection for acute perforated diverticulitis: review and meta-analysis. Ann Surg 2018; 267: 252-258.

Published: 17th May 2018

Authors: Penna M, Markar SR, Mackenzie H, Hompes R, Cunningham C

Conclusion

There were 589 patients studied in three RCTs and four prospective studies. Patients who had laparoscopic lavage had fewer infections and shorter hospital stay, but also more intra-abdominal abscesses and long term urgent reoperations. The stoma rate was 90 per cent after resection versus 14 per cent after lavage.

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