Table 6 Characteristics of available strategies for the treatment of perforated diverticulitis with generalized peritonitis
From: Damage control strategy in perforated diverticulitis with generalized peritonitis
Damage control surgery | Laparoscopic lavage | Primary anastomosis | Hartmann‘s procedure | |
|---|---|---|---|---|
Use for Hinchey stage | III + IV | III | III + IV | III + IV |
Technical requirements | Low | Medium | High | medium |
Risk for Stoma | ~ 50% | Low | 100%* | 100% |
Advantages | Rapid and easy focus control, low stoma rate | Minimally invasive treatment, no resection, no stoma | Focus control, definite treatment within one surgical procedure | Focus control, no anastomosis |
Disadvantages | Two surgical procedures | Relevant rate of adverse events | Technical challenging, high stoma rate | Low reversal rate, low quality of life |