Authors’ Reply: Perforated Diverticulitis with Generalized Peritonitis: Low Stoma Rate Using a “Damage Control Strategy”
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We highly appreciate comments by Mattone and his coworkers. In this context, we totally agree about certain limitations of our study.
Within our first analysis, we compared 19 patients after the use of a damage control strategy (DCS) with a control group, consisting of 18 patients (Hartmann’s procedure: n = 14, primary anastomosis: n = 4). Both groups were equally weighted in terms of demographics, severity of peritonitis, and comorbidities. The overall postoperative mortality was 11% (n = 4). Postoperative morbidity and mortality were without statistically significant difference between both groups; however, a significantly higher proportion of patients in the control group had a stoma after the initial hospital stay (83 vs. 47%, p = 0.038) . These favorable results led to a routine application of DCS in patients, hospitalized for perforated diverticular disease with generalized peritonitis. Indeed, the individual clinical condition was not involved into the decision...
- 2.Gachabayov M, Oberkofler CE, Tuech JJ, Hahnloser D, Bergamaschi R (2018) Resection with primary anastomosis vs nonrestorative resection for perforated diverticulitis with peritonitis: a systematic review and meta-analysis. Colorectal Dis. 20(9):753–770. https://doi.org/10.1111/codi.14237 CrossRefGoogle Scholar
- 3.Binda GA, Karas JR, Serventi A, Sokmen S, Amato A, Hydo L et al (2012) Primary anastomosis vs nonrestorative resection for perforated diverticulitis with peritonitis: a prematurely terminated randomized controlled trial. Colorectal Dis Off J Assoc Coloproctol G B Irel 14(11):1403–1410Google Scholar