Evidence-informed guidelines indicate that patients with complicated diverticulitis without sepsis should prefer primary resection and anastomosis (pra) over Hartmann’s resection (hr) or laparoscopic lavage (lpl), contingent on surgical expertise. Conversely, hr is advised for septic or frail patients. Key outcomes highlighted a greater probability of avoiding stoma formation at one year with pra. The guidelines emphasize shared decision-making and conditional recommendations to enhance surgical management across Europe.
Journal Article by Antoniou SA, Huo B (…) Bonjer HJ et 24 al. in Surg Endosc
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