Prospectively Randomized Controlled Trial on Damage Control Surgery for Perforated Diverticulitis with Generalized
Reinhold Kafka-Ritsch1, Matthias Zitt2,3, Alexander Perathoner2
1Department of Visceral, Transplant and Thoracic Surgery, Centre for Operative Medicine, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. reinhold.kafka-ritsch@tirol-kliniken.at.
World Journal of Surgery
|September 9, 2020
Summary
Damage control surgery (DCS) for perforated diverticulitis (Hinchey III/IV) significantly enhances bowel continuity reconstruction. This approach reduces the need for stomas at discharge compared to conventional treatment.
Area of Science:
- Surgical Innovation
- Gastroenterology
- Emergency Surgery
Background:
- Perforated diverticulitis with generalized peritonitis presents a significant surgical challenge.
- Damage control surgery (DCS) involving abdominal negative pressure therapy and delayed anastomosis is an established institutional approach.
- This study is the first prospectively controlled randomized trial comparing DCS with conventional treatment (Group C) for this condition.
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