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Laparoscopic lavage an alternative to resection in perforated diverticulitis


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Journal
JAMA Surgery
Reuters Health - 05/01/2021 - fIn patients with perforated purulent diverticulitis, outcomes of laparoscopic peritoneal lavage eventually do not differ much from those following primary resection, researchers have found in JAMA Surgery. As Dr. Najia Azhar of Skaane University Hospital Malmoe, in Sweden, told Reuters Health by email, "Long-term follow-up shows no difference in mortality or severe complications between the two groups, although the stoma rate is much higher in the resection group." "Some patients in the laparoscopic lavage group," she added, "will eventually need resectional surgery, so laparoscopic lavage can be seen as a way to turn an acute situation into an elective one, and therefore shared decision-making taking both short- and long-term consequences into account with the patient is encouraged." Dr. Azhar and colleagues conducted a clinical trial in 21 hospitals in Sweden and Norway. They randomized 199 patients to undergo laparoscopic per...


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