Evidence map›Paper›PMID 28293278›Full record

ReviewWorld journal of emergency surgery : WJES2017

A historical review of surgery for peritonitis secondary to acute colonic diverticulitis: from Lockhart-Mummery to evidence-based medicine.

Roberto Cirocchi, Sorena Afshar, Salomone Di Saverio, Georgi Popivanov, Angelo De Sol, Francesca Gubbiotti, Gregorio Tugnoli, Massimo Sartelli, Fausto Catena, David Cavaliere and 3 more

Open access · goldAbstract readHistorical ArticleReview
In one paragraph

Review in World journal of emergency surgery : WJES, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  13. [Evidence for standard surgical procedures: appendicitis, diverticulitis and cholecystitis].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019
    Review
  14. An outcome analysis of laparoscopic management of diverticulitis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018
    Observational
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 6 countries.

Roberto CirocchiDepartment of General Surgery, University of Perugia, Terni Hospital, Terni, Italy.
Sorena AfsharDepartment of General Surgery, Cumberland Infirmary, Carlisle, UK.
Salomone Di SaverioGeneral (Colorectal) Emergency and Trauma Surgery Service, Maggiore Hospital Regional Emergency Surgery and Trauma Center - Bologna Local Health District, Bologna, Italy.ORCID 0000-0001-5685-5022
Georgi PopivanovMilitary Medical Academy, Sofia, Bulgaria.
Angelo De SolDepartment of Surgery, Terni Hospital, Terni, Italy.
Francesca GubbiottiDepartment of Surgery, University of Ferrara, Ferrara, Italy.
Gregorio TugnoliGeneral (Colorectal) Emergency and Trauma Surgery Service, Maggiore Hospital Regional Emergency Surgery and Trauma Center - Bologna Local Health District, Bologna, Italy.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
Fausto CatenaDepartment of Emergency Surgery, Parma Hospital, Parma, Italy.
David CavaliereDepartment of Surgery, Forlì Hospital, Forlì, Italy.
Renata TabołaDepartment of Gastrointestinal and General Surgery, Medical University of Wrocław, Wrocław, Poland.
Abe FingerhutSection for Surgical Research, Department of Surgery, Medical University of Graz, Graz, Austria.
Gian Andrea BindaDepartment of Surgery, E.O. OspedaliGalliera, Genova, Italy.
Ospedale Maggiore Carlo Alberto Pizzardi · ITCumberland Infirmary · GBEnte Ospedaliero Ospedali Galliera · ITMilitary Medical Academy · BGNational and Kapodistrian University of Athens · GROspedale di MacerataUniversity of Ferrara · ITUniversity of Parma · ITUniversity of Perugia · ITUniversity of Wrocław · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of patients with colonic diverticular perforation is still evolving. Initial lavage with or without simple suture and drainage was suggested in the late 19th century, replaced progressively by the three-stage Mayo Clinic or the two-stage Mickulicz procedures. Fears of inadequate source control prompted the implementation of the resection of the affected segment of colon with formation of a colostomy (Hartman procedure) in the 1970's. Ensuing development of the treatment strategies was driven by the recognition of the high morbidity and mortality and low reversal rates associated with the Hartman procedure. This led to the wider use of resection and primary anastomosis during the 1990's. The technique of lavage and drainage regained popularity during the 1990's. This procedure can also be performed laparoscopically with the advantage of faster recovery and shorter hospital stay. This strategy allows resectional surgery to be postponed or avoided altogether in many patients; and higher rates of primary resection and anastomosis can be achieved avoiding the need for a stoma. The three recent randomized controlled trials comparing laparoscopic peritoneal lavage alone to resectional surgery reported inconsistent outcomes. The aim of this review is to review the historical evolution and future reflections of surgical treatment modalities for diffuse purulent and feculent peritonitis. In this review we classified the various surgical strategies according to Krukowski et al. and Vermeulen et al. and reviewed the literature related to surgical treatment separately for each period.

Indexed as

Diverticulitis, ColonicEvidence-Based MedicineGeneral SurgeryHistory, 20th CenturyHumansPeritonitisTherapeutic IrrigationAcute care surgeryAcute diverticulitisColorectal surgeryEmergency surgeryHartmann resectionLaparoscopic lavagePerforated diverticulitis

Identifiers

PMID28293278
PMCPMC5345194
OpenAlexW2594547975

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.