ReviewSurgical endoscopy2025
Laparoscopic lavage: an option for surgical management of complicated diverticulitis.
Review in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Surgical approach to intraabdominal sepsis: a damage control approach can reduce stoma rates.Surgical endoscopy · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute diverticulitis with perforation and peritonitis is a serious complication affecting up to 12% of patients. Peritonitis is classified into purulent (Hinchey III) or fecal (Hinchey IV) categories. The standard treatment has traditionally involved emergency surgery, such as bowel resection with or without anastomosis or Hartmann's procedure, both of which carry high morbidity and mortality risks.
methodsIn 2008, laparoscopic peritoneal lavage (LPL) emerged as a less invasive alternative for treating purulent peritonitis. This article outlines the LPL technique, emphasizing patient selection, procedural steps, and postoperative care.
resultsSeveral clinical trials have compared LPL to traditional resection methods. These trials show that while LPL is associated with lower stoma prevalence and shorter recovery times, it also carries a higher risk of reoperation and misdiagnosis, especially in cases of fecal peritonitis. Proper patient selection, such as excluding immunosuppressed patients and those with Hinchey IV peritonitis, and careful intraoperative assessment are crucial for successful outcomes. While LPL is not superior to resection, it is a viable alternative in select cases.
conclusionLPL offers a minimally invasive option for treating complicated diverticulitis in appropriately selected patients, though careful surgical expertise and patient-centered decision-making are essential to optimizing results.
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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.