BACKGROUND AND AIMS: For complicated @entity4436 Hartmann's procedure remains the favored option in @entity1 with acute complicated sigmoid disease, but there has been increasing interest in primary resection and @entity254 with intraoperative colonic lavage. This study compared primary resection with intraoperative colonic lavage and Hartmann's procedure. @entity1 AND METHODS: Between January 1994 and November 2001, 60 @entity1 underwent emergency laparotomy for @entity298 (Hinchey stages III and IV). Primary resection and @entity254 with intraoperative colonic lavage was performed in 27 @entity1 and Hartmann's procedure in 33. All data were collected prospectively on a standardized form. RESULTS: Mortality with intraoperative colonic lavage was 11% and with Hartmann's procedure 12%. The incidence of @entity260 was significantly higher after Hartmann's procedure. The mean hospital stay was significantly longer after Hartmann's procedure than after primary resection with intraoperative colic lavage. CONCLUSION: Primary resection with intraoperative colonic lavage compares favorably with Hartmann's procedure for diffuse @entity298 in complicated @entity4436 . It should be an alternative to Hartmann's procedure in stercoral @entity298 .

Primary @entity254 after intraoperative colonic lavage vs. Hartmann's procedure in generalized XXXX complicating diverticular disease of the colon.

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complication'] @entity4436 :: ('MESH:D004238', 'Disease') :: ['diverticulitis'] @entity298 :: ('MESH:D010538', 'Disease') :: ['diverticular peritonitis', 'purulent peritonitis', 'peritonitis']
@entity298 :: (MESH:D010538,Disease) :: ['peritonitis']
