Observational studyWorld journal of emergency surgery : WJES2019
Damage control surgery for perforated diverticulitis with diffuse peritonitis: saves lives and reduces ostomy.
Observational study in World journal of emergency surgery : WJES, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06428370 (An International Study Investigating the Adoption and Outcome of Damage Control Surgery in Hinchey III-IV Acute Diverticulitis), which is not on this map. Cited by 27 papers, 6 of them syntheses that pooled 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.
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.
An International Study Investigating the Adoption and Outcome of Damage Control Surgery in Hinchey III-IV Acute Diverticulitis (DACOSAD)
Who cites it
27 citing papers in PubMed, 6 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- The surgical management of perforated diverticulitis Hinchey III: a systematic review and meta-analysis.International journal of colorectal disease · 2025Pooled it
- Purse-string skin closure versus linear skin closure in people undergoing stoma reversal.The Cochrane database of systematic reviews · 2024Pooled it
- The role of damage control surgery in the treatment of perforated colonic diverticulitis: a systematic review and meta-analysis.International journal of colorectal disease · 2021Pooled it
- Damage control strategy in perforated diverticulitis with generalized peritonitis.BMC surgery · 2021Pooled it
- Damage control surgery for the treatment of perforated acute colonic diverticulitis: A systematic review.Medicine · 2020Pooled it
- 2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting.World journal of emergency surgery : WJES · 2020Guideline
- Prospectively Randomized Controlled Trial on Damage Control Surgery for Perforated Diverticulitis with Generalized Peritonitis.World journal of surgery · 2020Trial
- Damage control surgery and open abdomen in Hinchey III-IV acute diverticulitis: current practice from a nationwide Italian survey.Updates in surgery · 2026Article
- Outcomes of damage control surgery in perforated sigmoid diverticulitis: a comparison before and after implementing a new treatment algorithm.Updates in surgery · 2026Article
- Role of Damage Control Surgery in Perforated Diverticulitis Management: A Systematic Review.Cureus · 2025Review
- Clinical Impact of Sarcopenia in the Decision-Making Process for Patients with Acute Diverticulitis.Journal of clinical medicine · 2024Article
- Emergency laparotomy preoperative risk assessment tool performance: A systematic review.Surgery in practice and science · 2024Review
- Gastric rupture caused by intragastric perforation of splenic artery aneurysm: a case report and literature review.Surgical case reports · 2024Article
- Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.World journal of emergency surgery : WJES · 2023Article
- Article
- Source control in emergency general surgery: WSES, GAIS, SIS-E, SIS-A guidelines.World journal of emergency surgery : WJES · 2023Review
- Is damage control surgery useful in the treatment of colorectal perforation? A single-center case-control study.Annals of medicine and surgery (2012) · 2023Article
- Current Aspects on the Management of Perforated Acute Diverticulitis: A Narrative Review.Cureus · 2022Review
- The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly.World journal of emergency surgery : WJES · 2022Review
- Difference between delayed anastomosis and early anastomosis in damage control laparotomy affecting the infusion volume and NPWT output volume: is infusion restriction necessary in delayed anastomosis? A single-center retrospective analysis.Trauma surgery & acute care open · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Over the last decade, damage control surgery (DCS) has been emerging as a feasible alternative for the management of patients with abdominal infection and sepsis. So far, there is no consensus about the role of DCS for acute perforated diverticulitis. In this study, we present the outcome of a multi-institutional series of patients presenting with Hinchey's grade III and IV diverticulitis managed by DCS. Methods: All the participating centers were tertiary referral hospitals. A total of 34 patients with perforated diverticulitis treated with DCS during the period 2011-2017 were included in the study. During the first laparotomy, a limited resection of the diseased segment was performed followed by lavage and use of negative pressure wound therapy (NPWT). After 24/48 h of resuscitation, patients returned to the operating room for a second look. Mortality, morbidity, and restoration of bowel continuity were the primary outcomes of the study. Results: There were 15 males (44%) and 19 females (56%) with a mean age of 66.9 years (SD ± 12.7). Mean BMI was 28.42 kg/m Conclusion: DCS is a feasible procedure for patients with generalized peritonitis secondary to perforated diverticulitis, and it appears to be related to a higher rate of bowel reconstruction. Due to the open abdomen, stay in ICU with prolonged mechanical ventilation is required, but these aggressive measures may be needed by most patients undergoing surgery for perforated diverticulitis, whatever the procedure is done.
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Registered trials
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.