Surgical management of diverticulitis

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Abstract
Experience with 182 patients treated primarily by the 1-stage primary resection or 2-stage resection (Hartmann operation) is presented. A total of 135 patients undergoing primary resection had an associated mortality rate of 2.2%. Of 44 patients operated on using the Hartmann operation for complicated diverticulitis (obstruction, perforation, abscess formation or fistula formation) the mortality rate was 4.5%. Primary resection in an elective setting is associated with the lowest mortality and morbidity; however, marked inflammation, obstruction and/or peritonitis preclude primary anastomosis. In the urgent setting the staged operation is associated with acceptable morbidity and mortality.