Discussion Conservative treatment of acute calculous cholecystitis during index admission seems feasible and safe , especially in patients with mild disease .
Background In medical practice , the tendency to remove an inflamed gallbladder is deeply rooted .
Cholecystectomy , however , is associated with relatively high complication rates , and therefore the decision whether or not to perform surgery should be well considered .
For some patients , the surgical risk – benefit profile may favour conservative treatment .
The objective of this study was to examine the short- and long-term outcome of conservative treatment of patients with acute calculous cholecystitis .
Emergency management of diverticulitis.
The most common indications for emergency operative intervention in the treatment of sigmoid diverticulitis are peritonitis and failure of medical therapy .  Primary resection and diversion ( Hartmann 's procedure ) followed by delayed colostomy closure is the current st and ard of emergency surgical care . Guidelines for best operative strategy , however , remain controversial and continue to evolve based on recent comparative review s of surgical outcomes .  Primary resection and anastomosis with or without proximal diversion and laparoscopic lavage are alternatives to Hartmann 's procedure that may provide an improved outcome in properly selected patients . Ongoing changes in the historical paradigm of the surgical approach to this disease m and ate the need for large multicentered prospect i ve r and omized trials to determine the best surgical strategy under emergent conditions for the treatment of diverticulitis . The current literature is review ed with suggestions for a management algorithm
Discussion Conservative treatment of acute calculous cholecystitis during index admission seems feasible and safe , especially in patients with mild disease .
Background In medical practice , the tendency to remove an inflamed gallbladder is deeply rooted .
Cholecystectomy , however , is associated with relatively high complication rates , and therefore the decision whether or not to perform surgery should be well considered .
For some patients , the surgical risk – benefit profile may favour conservative treatment .
The objective of this study was to examine the short- and long-term outcome of conservative treatment of patients with acute calculous cholecystitis .