Laparoscopic lavage: an option for surgical management of complicated diverticulitis.

ABSTRACT:

Background

Acute diverticulitis with perforation and peritonitis is a serious complication affecting up to 12% of patients. Peritonitis is classified into purulent (Hinchey III) or fecal (Hinchey IV) categories. The standard treatment has traditionally involved emergency surgery, such as bowel resection with or without anastomosis or Hartmann's procedure, both of which carry high morbidity and mortality risks.

Methods

In 2008, laparoscopic peritoneal lavage (LPL) emerged as a less invasive alternative for treating purulent peritonitis. This article outlines the LPL technique, emphasizing patient selection, procedural steps, and postoperative care.

Results

Several clinical trials have compared LPL to traditional resection methods. These trials show that while LPL is as

SUBMITTER: Giron H 

PROVIDER: S-EPMC12041086 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature