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