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Comment & Response
March 8, 2016

Laparoscopic Lavage vs Primary Resection for Perforated Diverticulitis

Author Affiliations
  • 1Emergency Surgery and Trauma Surgery Unit, C. A. Pizzardi Maggiore Hospital Trauma Center, Bologna, Italy

Copyright 2016 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2016;315(10):1053. doi:10.1001/jama.2015.17864

To the Editor The Scandinavian Diverticulitis (SCANDIV) Study Group1 investigated the safety and efficacy of laparoscopic peritoneal lavage compared with primary resection for acute perforated diverticulitis. To date, this trial represents the largest randomized clinical trial on this subject and confirmed that safety issues are serious in patients undergoing laparoscopic lavage. We would like to point out some aspects of the SCANDIV trial that, in our opinion, need to be clarified.

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