If you must operate on a patient presenting with purulent peritonitis secondary to sigmoid diverticular perforationdo not throw the baby out with the bathwater, not yet.
Hartmann's procedure versus sigmoidectomy with primary anastomosis for perforated diverticulitis with purulent or fecal peritonitis: Three-year follow-up of a randomised controlled trial.
Edomskis PP, Hoek VT, Stark PW, Lambrichts DPV, Draaisma WA, Consten ECJ, Bemelman WA, Lange JF; LADIES trial collaborators.
Int J Surg. 2022 Feb;98:106221. doi: 10.1016/j.ijsu.2021.106221. Epub 2022 Jan 10.
PMID:35026462
Hartmann's Procedure or Primary Anastomosis for Generalized Peritonitis due to Perforated Diverticulitis: A Prospective Multicenter Randomized Trial (DIVERTI).
Bridoux V, Regimbeau JM, Ouaissi M, Mathonnet M, Mauvais F, Houivet E, Schwarz L, Mege D, Sielezneff I, Sabbagh C, Tuech JJ.
Laparoscopic peritoneal lavage versus sigmoidectomy for perforated diverticulitis with purulent peritonitis: three-year follow-up of the randomised LOLA trial.
Hoek VT, Edomskis PP, Stark PW, Lambrichts DPV, Draaisma WA, Consten ECJ, Lange JF, Bemelman WA; LADIES trial collaborators.
Surg Endosc. 2022 Oct;36(10):7764-7774. doi: 10.1007/s00464-022-09326-3. Epub 2022 May 23.
PMID:35606544
[Purulent peritonitis due to gonococcal infection].
Geerds MAJ, van Driel LJ, Trienekens TAM, Sassen S, Aarts F.
Ned Tijdschr Geneeskd. 2019 Oct 17;163:D3412.
PMID:31647617
Distinguishing fecal appendicular peritonitis from purulent appendicular peritonitis.
Mariage M, Sabbagh C, Yzet T, Dupont H, NTouba A, Regimbeau JM.
Laparoscopic sigmoidectomy for perforated diverticulitis with purulent peritonitis - a video vignette.
Coratti F, Nelli T, Maggioni C, Mongelli C, Cianchi F.
Colorectal Dis. 2020 Mar;22(3):347-348. doi: 10.1111/codi.14881. Epub 2019 Nov 20.
PMID:31638327
[Prevention of the development of additional purulent-septic complications in peritonitis of various etiologies, taking into account reduced reactivity].