Trials of Surgical Treatment of Acute Perforated Diverticulitis: Finding What They Look For

In this issue, Thornell and colleagues' trial randomly assigned patients with acute perforated diverticulitis to laparoscopic drainage and lavage or the Hartmann procedure. They found that patients who had the Hartmann procedure required surgery more often in the following 12 months than those who had lavage. The editorialists discuss these findings and note that trials comparing noninvasive management with the invasive lavage and colonic resection approaches are needed to define the best approach.

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