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 vs primary resection for acute perforated diverticulitis. Long-term outcomes from the Scandinavian Diverticulitis (SCANDIV) randomized clinical trial. JAMA Surg 2021; 156: 121-127.

Published: 4th November 2021

Authors: Azhar N, Johanssen A, Sundstrom T, Folkesson J, Wallon C, Korner H et al.

Conclusion

Some 199 patients were included and followed for a median 59 months. Severe complications and mortality were similar. Patients in the lavage group were less likely to need a stoma (8 versus 33 per cent, P=0.002), but more likely to get recurrent diverticulitis (21 versus 4 per cent, P=0.004).

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