A National Study of Clinical Results After Emergency Operation for Perforated Diverticulitis

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

669 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-04-18

Study Completion Date

2022-12-31

Brief Summary

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The aim of this study is to evaluate clinical results and effect on health and well-being in patients operated for perforated diverticulitis with purulent peritonitis by laparoscopic lavage in Sweden when used outside of prospective studies/trials and in comparison with the traditional treatment, i.e. colon resection with or without stoma formation.

A secondary aim is to evaluate the outcome after fecal peritonitis.

The hypothesis is that laparoscopic lavage as treatment for perforated diverticulitis with purulent peritonitis is safe, efficient and cost saving, when used in routine health care.

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Detailed Description

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Conditions

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Perforated Diverticulitis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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purulent peritonitis

Hinchey 3

Laparoscopic lavage

Intervention Type PROCEDURE

Operation with laparoscopic lavage for perforated diverticulitis Hinchey 3

Colon resection

Intervention Type PROCEDURE

Operation with colon resection for perforated diverticulitis Hinchey 4

faecal peritonitis

Hinchey 4

Colon resection

Intervention Type PROCEDURE

Operation with colon resection for perforated diverticulitis Hinchey 4

Interventions

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Laparoscopic lavage

Operation with laparoscopic lavage for perforated diverticulitis Hinchey 3

Intervention Type PROCEDURE

Colon resection

Operation with colon resection for perforated diverticulitis Hinchey 4

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* All patients registered in the Patient registry with ICD 10 codes K57 classified as emergency admissions and with the Nordic Medico-Statistical Committee (NOMESCO) code JAH01(diagnostic laparoscopy), JFB46 (resection of sigmoid colon), JFB60 (resection of sigmoid colon, sigmoidostomy and closure of the distal stump), JFB61 (laparoscopic resection of sigmoid colon, sigmoidostomy and closure of the distal stump), JFB63 (other colon resection, colostomy and closure of the distal stump), JAK04 (laparoscopy and peritoneal lavage), JAW97 (other laparoscopic operation involving abdominal wall, mesentery, peritoneum or the omentum)

Exclusion Criteria

* Patients where hospital records reveal that the index admission was misclassified (not perforated diverticulitis) will be excluded.
* Patients classified as Hinchey 1-2.
* No informed consent received or withdrawal of consent (questionnaire)

Eligible Sex

ALL

Accepts Healthy Volunteers

No