• Eur J Trauma Emerg Surg · Feb 2024

    Review

    Diverticulitis, surgery, evidence-based medicine, and the Steve Jobs' dots: a narrative review.

    • Ferdinando Agresta, Giulia Montori, Mauro Podda, Monica Ortenzi, Alessio Giordano, Carlo Bergamini, Giorgio Mazzarolo, Edelweiss Licitra, Tobia Gobbi, Giuseppa Procida, Andrea Dal Borgo, Emanuele Botteri, Luca Ansaloni, Paola Fugazzola, Grazia Savino, Mario Guerrieri, Fabio Cesare Campanile, Alberto Sartori, Wanda Petz, Gianfranco Silecchia, Salomone di Saverio, Fausto Catena, Antonino Agrusa, Michelangelo Salemi, Salvador Morales-Conde, and Alberto Arezzo.
    • Unit of General and Emergency Surgery, Vittorio Veneto Hospital, Via C. Forlanini 71, 31029, Vittorio Veneto, TV, Italy.
    • Eur J Trauma Emerg Surg. 2024 Feb 1; 50 (1): 819181-91.

    PurposeEmergency treatment of acute diverticulitis remains a hazy field. Despite a number of clinical studies, randomized controlled trials (RCTs), guidelines and surgical societies recommendations, the most critical hot topics have yet to be addressed.MethodsLiterature research from 1963 until today was performed. Data regarding the principal RCTs and observational studies were summarized in descriptive tables. In particular we aimed to focus on the following topics: the role of laparoscopy, the acute care setting, the RCTs, guidelines, observational studies and classifications proposed by literature, the problem in case of a pandemic, and the importance of adapting treatment /place/surgeon conditions.ResultsIn the evaluation of these points we did not try to find any prospective evolution of the concepts achievements. On the contrary we simply report the individuals strands of research from a retrospective point of view, similarly to what Steve Jobes said: "you can't connect the dots looking forward; you can only connect them looking backwards. So you have to trust that the dots will somehow connect in your future". We have finally obtained what can be defined "a narrative review of the literature on diverticulitis".ConclusionsNot only evidence-based medicine but also the contextualization, as also the role of 'competent' surgeons, should guide to novel approach in acute diverticulitis management.© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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