• What is the Current Role of Laparoscopic Lavage in Perforated Diverticulitis? (April 2017)

    Category: Acute Care Surgery, Surgical Critical Care
    Walter L. Biffl, MD, Frederick A. Moore, MD, and Ernest E. Moore, MD
    CME 1 CME Credit(s)

    Learning Objectives:

    To critically evaluate current literature and make recommendations for appropriate patient selection for less invasive approaches to perforated diverticulitis.

    Impact Statement:

    Most patients with perforated diverticulitis and peritonitis undergo colon resection and fecal diversion. Some patients may be suitable for less-invasive approaches, sparing them a colostomy.

    Literature on laparoscopic lavage are mixed and seem heavy-handed in criticism of less-invasive approaches. Patient selection is pivotal, and the clinician should understand the finer points of decision-making.

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    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American College of Surgeons and the American Association for the Surgery of Trauma. The American College of Surgeons is accredited by the ACCME to provide continuing medical education (CME) for physicians.

    AMA PRA Category 1 Credits™

    The American College of Surgeons designates this journal-based activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1 credit meets the requirements for Self-Assessment.

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