International journal of colorectal disease
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Int J Colorectal Dis · Apr 2010
Comparative StudyUse of severity classification systems in the surgical decision-making process in emergency laparotomy for perforated diverticulitis.
Hartman's procedure (HP) or primary anastomosis (PA) are the two surgical techniques used in patients undergoing emergency colectomy for perforated diverticulitis. There are no objective criteria to guide the surgeon's choice of procedure. This study assesses whether classification and scoring systems can be used in the decision-making process. ⋯ None of the tested scores can be used to help the surgeon decide whether a PA or HP is appropriate in a specific patient. Comorbidity, represented as CCI in this study, might be more important than the locoregional situation.