Surgical Management of Perforated Colonic Diverticulitis

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Abstract
• Between 1960 and 1983, 116 patients had surgical treatment for acutely perforated colonic diverticulitis. Sixty-five patients had immediate or primary resection and 51 had delayed or staged resection. The two groups were comparable as to age, sex, and associated diseases. The mortality rate (12% v 20%), duration of hospital stay (36 days v 52 days), and duration of disability (81 days v 148 days) were all lower for the primary resection than the staged resection group. We believe that, whenever possible, the perforated segment of colonic diverticulitis should be resected primarily. (Arch Surg 1985;120:450-452)

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