Comparing Laparoscopic Lavage and Resection for Acute Diverticulitis
Author Information
Author(s): Thornell Anders, Angenete Eva, Gonzales Elisabeth, Heath Jane, Jess Per, Läckberg Zoltan, Ovesen Henrik, Rosenberg Jacob, Skullman Stefan, Haglind Eva
Primary Institution: Sahlgrenska University Hospital
Hypothesis
Is laparoscopic lavage a safe, minimally invasive method for patients with perforated diverticulitis Hinchey grade III?
Conclusion
The DILALA trial aims to evaluate if laparoscopic lavage results in fewer re-operations and decreased morbidity compared to traditional surgery.
Supporting Evidence
- Laparoscopic lavage has shown fewer complications and shorter hospital stays in recent reports.
- Previous studies indicate high morbidity and mortality rates associated with traditional surgery for diverticulitis.
- Only 56% of patients who underwent Hartmann's procedure had stoma reversal surgery.
Takeaway
Doctors are testing a new way to treat a serious stomach problem that might be easier and safer than the old method.
Methodology
This is a randomized trial comparing laparoscopic lavage to Hartmann's Procedure for treating acute perforated diverticulitis.
Limitations
The study may not include all patients with diverticulitis, as only those with Hinchey grade III are randomized.
Participant Demographics
Patients with acute diverticulitis requiring emergency surgery.
Digital Object Identifier (DOI)
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