What is the efficacy of laparoscopic lavage in the treatment of peritonitis and abdominal sepsis?

Updated: Jul 23, 2019
  • Author: Brian J Daley, MD, MBA, FACS, FCCP, CNSC; Chief Editor: Praveen K Roy, MD, AGAF  more...
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In preliminary results from the Swedish DILALA (DIverticulitis LAparoscopic LAvage) trial, Angenete et al reported that in the short term, laparoscopic lavage may be safe and effective in treating perforated diverticulitis with purulent peritonitis (Hinchey III classification). [27] The investigators found no differences in 12-week morbidity and mortality between 39 patients who underwent laparoscopic lavage and 39 patients who underwent a Hartmann procedure (colon resection and stoma). However, the laparoscopic lavage procedure resulted in decreased operative times and reduced recovery time and hospital stays. [27]

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