Primary resection and anastomosis in the management of perforation of diverticulitis of the sigmoid flexure and diffuse peritonitis

Abstract

Summary Twenty-six patients with perforation of sigmoidal diverticulitis and acute diffuse peritonitis were managed surgically by onestage and multistaged procedures. Based on comparative results revealed in this study (Table 6), it is believed that primary resection and anastomosis should be the procedure of choice in the management of this condition. Occasionally, a proximal colostomy may be performed if the integrity of the anastomosis is in doubt.