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Comment & Response
March 8, 2016

Laparoscopic Lavage vs Primary Resection for Perforated Diverticulitis—Reply

Author Affiliations
  • 1Department of Gastrointestinal Surgery, Akershus University Hospital, Lørenskog, Norway
  • 2Department of Gastrointestinal Surgery, Oslo University Hospital, Oslo, Norway
  • 3University of Oslo, Oslo, Norway

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

JAMA. 2016;315(10):1053-1054. doi:10.1001/jama.2015.17873

In Reply The SCANDIV trial was a pragmatic study comparing laparoscopic peritoneal lavage for perforated diverticulitis with today’s standard of care, resection of the diseased bowel, in terms of severe complications. Although no statistically significant differences were observed in the primary outcome, our results demonstrated that laparoscopic lavage was not as effective as primary resection of the diseased bowel in eradicating the septic focus, which is consistent with the LOLA trial.1 Furthermore, the reoperation rate was significantly higher in the laparoscopic lavage group (20.3%) than in the resection group (5.7%).