Primary vs. Secondary Anastomosis for Hinchey Stage III-IV Diverticulitis a Prospective Randomized Trial

University Hospital, Rouen102 enrolled

Overview

This study compares primary resection with anastomosis and Hartmann's procedure in an adult population with acute perforated colonic diverticulitis (Hinchey Stage III and IV) METHODS: The primary end point was postoperative mortality. Secondary end points included surgical and medical morbidity, operative time, and length of postoperative hospitalization.

inclusion criteria: hinchey III and IV diverticulitis

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

102

Conditions

Peritonitis

Interventions

Hartmann interventionPROCEDURE

sigmoid resection, peritoneal and rectal lavage, terminal stoma

Protected anastomosis resectionPROCEDURE

sigmoid resection , peritoneal and rectal lavage, anastomosis, diverting stoma

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient with peritonitis du to sigmoid diverticulum complication * Surgeon - anesthetist confirming the 2 surgeries can be performed Exclusion Criteria: * Physical state which can not permit patient to participate * contraindication to surgery * non-diverticulum peritonitis

Locations (1)

CHU - Rouen

Rouen, France

Outcomes

Primary Outcomes

Death rate comparison between two chirurgical strategies

Time frame: 18 months

Data from ClinicalTrials.gov

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