Post-Discharge Outcomes for Acute Diverticulitis: Primary Anastomosis vs. Hartmann’s Procedure
Primary anastomosis with diverting loop ileostomy showed higher 1-year ostomy closure rates and less complications upon stoma closure compared to Hartmann’s procedure for acute diverticulitis. Despite increased unplanned readmissions, primary anastomosis patients had favorable outcomes, supporting guidelines favoring this approach.
Accounting for emergency colon surgery changed infection-risk rankings: safety-net hospitals were no longer more likely to land in the highest-risk group.
Among older adults having urgent abdominal surgery, robotic operations were linked to fewer severe complications and more discharges home, but not shorter stays after adjustment.