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MINI REVIEW article

Front. Med.
Sec. Gastroenterology
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1501734
This article is part of the Research Topic Diverticulitis - A Neglected Disease Despite its Clinical Burden View all articles

SURGERY FOR DIVERTICULAR PERITONITIS

Provisionally accepted
SAVVAS PAPAGRIGORIADIS SAVVAS PAPAGRIGORIADIS 1*Anestis Charalampopoulos Anestis Charalampopoulos 2
  • 1 IASO General Hospital, Athens, Greece
  • 2 School of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece

The final, formatted version of the article will be published soon.

    Some patients with acute diverticulitis will present with colonic perforation and peritonitis. This paper is a review of the surgical management of diverticular peritonitis Hinchey III and Hinchey IV. The significance of prompt management of sepsis is discussed. The surgical options for Hinchey III and Hinchey IV peritonitis are discussd with presentation of the supporting literature. In Hinchey III peritonitis Laparoscopic Peritoneal Lavage has emerged as an alternative to laparotomy -colectomy. The classic Hartmann's operation has no advantage of survival and results frequently in permanent stoma. Recent published evidence supports on table colonic lavage and the performance of primary anastomosis unless the patient is critically ill.

    Keywords: Diverticulitis, Peritonitis, Laparoscopic peritoneal lavage, Diverticular disease, Colostomy, Hinchey, Diverticular abscess, Emergency laparoscopy

    Received: 25 Sep 2024; Accepted: 20 Jan 2025.

    Copyright: © 2025 PAPAGRIGORIADIS and Charalampopoulos. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: SAVVAS PAPAGRIGORIADIS, IASO General Hospital, Athens, Greece

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