Hartmann's Procedure vs Primary Anastomosis with Diverting Loop Ileostomy for Acute Diverticulitis: Nationwide Analysis of 2,729 Emergency Surgery Patients

• Published in: Journal of the American College of Surgeons Vol. 229; no. 1; pp. 48 - 55
• Main Authors: Lee, Jae Moo, Bai P Chang, Jun, El Hechi, Majed, Kongkaewpaisan, Napaporn, Bonde, Alexander, Mendoza, April E., Saillant, Noelle N., Fagenholz, Peter J., Velmahos, George, Kaafarani, Haytham MA
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.07.2019
• Subjects: Acute Disease; Anastomosis, Surgical - methods; Colon, Sigmoid - surgery; Digestive System Surgical Procedures - methods; Diverticulitis, Colonic - surgery; Emergencies; Female; Humans; Ileostomy - methods; Male; Middle Aged; Reoperation; Retrospective Studies; Treatment Outcome

Recent small randomized trials suggest that primary anastomosis with a diverting loop ileostomy (PADLI) is a safe alternative to Hartmann's procedure (HP) for patients with acute diverticulitis necessitating emergent operation. We sought to examine the 30-day outcomes of patients undergoing eme...