Surgery for diverticular peritonitis
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...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1501734/full |
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| author | Savvas Papagrigoriadis Savvas Papagrigoriadis Anestis Charalampopoulos |
| author_facet | Savvas Papagrigoriadis Savvas Papagrigoriadis Anestis Charalampopoulos |
| author_sort | Savvas Papagrigoriadis |
| collection | DOAJ |
| description | 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 discussed 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. |
| format | Article |
| id | doaj-art-0e399e5315814e89a5395bde3cdd1fc1 |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-0e399e5315814e89a5395bde3cdd1fc12025-02-11T07:00:13ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.15017341501734Surgery for diverticular peritonitisSavvas Papagrigoriadis0Savvas Papagrigoriadis1Anestis Charalampopoulos2IASO General Hospital, Athens, GreeceOneWelbeck Digestive Health Centre, London, United KingdomMedical School, 3rd Surgery Unit, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GreeceSome 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 discussed 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.https://www.frontiersin.org/articles/10.3389/fmed.2025.1501734/fulldiverticulitisperitonitisLaparoscopic Peritoneal Lavagediverticular diseasecolostomyHinchey |
| spellingShingle | Savvas Papagrigoriadis Savvas Papagrigoriadis Anestis Charalampopoulos Surgery for diverticular peritonitis Frontiers in Medicine diverticulitis peritonitis Laparoscopic Peritoneal Lavage diverticular disease colostomy Hinchey |
| title | Surgery for diverticular peritonitis |
| title_full | Surgery for diverticular peritonitis |
| title_fullStr | Surgery for diverticular peritonitis |
| title_full_unstemmed | Surgery for diverticular peritonitis |
| title_short | Surgery for diverticular peritonitis |
| title_sort | surgery for diverticular peritonitis |
| topic | diverticulitis peritonitis Laparoscopic Peritoneal Lavage diverticular disease colostomy Hinchey |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1501734/full |
| work_keys_str_mv | AT savvaspapagrigoriadis surgeryfordiverticularperitonitis AT savvaspapagrigoriadis surgeryfordiverticularperitonitis AT anestischaralampopoulos surgeryfordiverticularperitonitis |