{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T09:19:03Z","timestamp":1785143943265,"version":"3.55.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2008,1,1]],"date-time":"2008-01-01T00:00:00Z","timestamp":1199145600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The standard approach to generalized peritonitis due to perforated diverticulitis involves open surgery and diversion of faecal content. This study assessed the feasibility of laparoscopic peritoneal lavage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective multi-institutional study of 100 patients was undertaken. All consenting patients with perforated diverticulitis causing generalized peritonitis underwent attempted laparoscopic peritoneal lavage. The degree of peritonitis, according to the Hinchey grading system, was recorded. Primary endpoints were operative success and resolution of symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients had a median age of 62\u00b75 (range 39\u201394) years, a male : female ratio of 2 : 1 and a median American Society of Anesthesiologists grade of III (range II\u2013V). Eight patients with grade 4 diverticulitis had conversion to an open Hartmann's procedure. The remaining 92 patients were managed by laparoscopic lavage, with morbidity and mortality rates of 4 and 3 per cent respectively. Two patients required postoperative intervention for a pelvic abscess. Only two patients re-presented with diverticulitis at a median follow up of 36 (range 12\u201384) months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Laparoscopic management of perforated diverticulitis with generalized peritonitis is feasible, with a low recurrence risk in the short term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bjs.6024","type":"journal-article","created":{"date-parts":[[2007,12,12]],"date-time":"2007-12-12T12:46:49Z","timestamp":1197463609000},"page":"97-101","source":"Crossref","is-referenced-by-count":291,"title":["Laparoscopic peritoneal lavage for generalized peritonitis due to perforated diverticulitis"],"prefix":"10.1093","volume":"95","author":[{"given":"E","family":"Myers","sequence":"first","affiliation":[{"name":"Institute for Clinical Outcomes Research and Education at Saint Vincent's University Hospital , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Hurley","sequence":"additional","affiliation":[{"name":"Department of Surgery, Saint Luke's Hospital , Kilkenny,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G C","family":"O'Sullivan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mercy University Hospital , Cork,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"Institute for Clinical Outcomes Research and Education at Saint Vincent's University Hospital , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Saint Luke's Hospital , Kilkenny,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D C","family":"Winter","sequence":"additional","affiliation":[{"name":"Institute for Clinical Outcomes Research and Education at Saint Vincent's University Hospital , Dublin,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2008,1,1]]},"reference":[{"key":"2024093006451893100_bib1","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1002\/bjs.1800711202","article-title":"Emergency surgery for diverticular disease complicated by generalized and faecal peritonitis: a review","volume":"71","author":"Krukowski","year":"1984","journal-title":"Br J Surg"},{"key":"2024093006451893100_bib2","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/S0002-9610(03)00172-7","article-title":"Impact of socioeconomic deprivation and primary pathology on rate of reversal of Hartmann's procedure","volume":"186","author":"Seetharam","year":"2003","journal-title":"Am J Surg"},{"key":"2024093006451893100_bib3","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1002\/bjs.1800730721","article-title":"Management of the septic complications of diverticular disease","volume":"73","author":"Lambert","year":"1986","journal-title":"Br J Surg"},{"key":"2024093006451893100_bib4","doi-asserted-by":"crossref","first-page":"1953","DOI":"10.1007\/s10350-004-0701-1","article-title":"Primary anastomosis or Hartmann's procedure for patients with diverticular peritonitis? A systematic review","volume":"47","author":"Salem","year":"2004","journal-title":"Dis Colon Rectum"},{"key":"2024093006451893100_bib5","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1007\/s10350-006-0547-9","article-title":"Primary resection with anastomosis vs. Hartmann's procedure for nonelective surgery for acute colonic diverticulitis: a systematic review","volume":"49","author":"Constantinidas","year":"2006","journal-title":"Dis Colon Rectum"},{"key":"2024093006451893100_bib6","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1002\/bjs.5402","article-title":"Prospective multicentre evaluation of adverse outcomes following treatment for complicated diverticular disease","volume":"93","author":"Constantinides","year":"2006","journal-title":"Br J Surg"},{"key":"2024093006451893100_bib7","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1016\/S0002-9610(97)89625-0","article-title":"Laparoscopic management of generalized peritonitis due to perforated colonic diverticula","volume":"171","author":"O'Sullivan","year":"1996","journal-title":"Am J Surg"},{"key":"2024093006451893100_bib8","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1097\/00019509-200006000-00007","article-title":"Two-stage laparoscopic management of generalized peritonitis due to perforated sigmoid diverticula: eighteen cases","volume":"10","author":"Faranda","year":"2000","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2024093006451893100_bib9","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1111\/j.1445-2197.2006.03908.x","article-title":"Perforated diverticulitis managed by laparoscopic lavage","volume":"76","author":"Taylor","year":"2006","journal-title":"ANZ J Surg"},{"key":"2024093006451893100_bib10","first-page":"85","article-title":"Treatment of perforated diverticular disease of the colon","volume":"12","author":"Hinchey","year":"1978","journal-title":"Adv Surg"},{"key":"2024093006451893100_bib11","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1111\/j.1365-2036.2005.02422.x","article-title":"The out-patient management of patients with acute mild-to-moderate colonic diverticulitis","volume":"21","author":"Mizuki","year":"2005","journal-title":"Aliment Pharmacol Ther"},{"key":"2024093006451893100_bib12","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.1007\/s10350-006-0613-3","article-title":"Percutaneous CT scan-guided drainage vs. antibiotherapy alone for Hinchey II diverticulitis: a case\u2013control study","volume":"49","author":"Brandt","year":"2006","journal-title":"Dis Colon Rectum"},{"key":"2024093006451893100_bib13","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1097\/01.sla.0000219682.98158.11","article-title":"Diverticulitis: a progressive disease? Do multiple recurrences predict less favourable outcomes?","volume":"243","author":"Chapman","year":"2006","journal-title":"Ann Surg"},{"key":"2024093006451893100_bib14","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1002\/bjs.5703","article-title":"Outcome of a conservative policy for managing acute sigmoid diverticulitis","volume":"94","author":"Shaikh","year":"2007","journal-title":"Br J Surg"},{"key":"2024093006451893100_bib15","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1002\/bjs.4873","article-title":"Elective surgery after acute diverticulitis","volume":"92","author":"Jones","year":"2005","journal-title":"Br J Surg"},{"key":"2024093006451893100_bib16","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1097\/01.sla.0000184843.89836.35","article-title":"Complicated diverticulitis: is it time to rethink the rules?","volume":"242","author":"Chapman","year":"2005","journal-title":"Ann Surg"},{"key":"2024093006451893100_bib17","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1002\/bjs.1800820110","article-title":"Restoration of intestinal continuity following Hartmann's procedure: the Lothian experience 1987\u20131992","volume":"82","author":"Wigmore","year":"1995","journal-title":"Br J Surg"},{"key":"2024093006451893100_bib18","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1111\/j.1445-2197.2005.03367.x","article-title":"Hartmann procedure: is it still relevant today?","volume":"75","author":"Seah","year":"2005","journal-title":"ANZ J Surg"},{"key":"2024093006451893100_bib19","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1007\/s10350-004-0871-x","article-title":"Hartmann's colectomy and reversal in diverticulitis: a population-level assessment","volume":"48","author":"Salem","year":"2005","journal-title":"Dis Colon Rectum"},{"key":"2024093006451893100_bib20","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1097\/00129689-200208000-00020","article-title":"Laparoscopically assisted reversal of Hartmann's procedure revisted","volume":"12","author":"Holland","year":"2002","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2024093006451893100_bib21","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1007\/BF02552268","article-title":"Primary resection and anastomosis for treatment of acute diverticulitis","volume":"32","author":"Alanis","year":"1989","journal-title":"Dis Colon Rectum"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.6024","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/95\/1\/97\/59443046\/bjs6024.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/95\/1\/97\/59443046\/bjs6024.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T02:52:27Z","timestamp":1727664747000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/95\/1\/97\/6156116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,1,1]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2008,1,1]]},"published-print":{"date-parts":[[2008,1,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.6024","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.1100164.556322","asserted-by":"object"}]},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2008,1]]},"published":{"date-parts":[[2008,1,1]]}}}