Abstract:
Summary. The incidence of diverticular colon disease has increased significantly. Complications are found in 40-42 % of patients,
the frequency of perforation of the diverticulum is about 3.3 %.
Materials and methods. The article presents the results of the treatment of 129 patients who were operated on for peritonitis complicated
forms of diverticular colon disease .
Research results. The study found that surgical treatment of patients
with complication in the Hinchey III-IV stage is best performed by
the method of laparoscopic peritoneal lavage.
Discussion of research results. The laparoscopic approach has demonstrated a number of advantages: a smaller wound size, a shorter period of disability, an early recovery of enteral nutrition, and a shorter
hospital stay.
Conclusions. Performing laparoscopic peritoneal lavage in patients
with perforated diverticulitis complicated by purulent peritonitis is
an alternative to Hartmann surgery or bowel resection with primary
anastomosis.
