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Comment & Response |

Laparoscopic Lavage vs Primary Resection for Perforated Diverticulitis

Matteo Mandrioli, MD1; Gregorio Tugnoli, MD1; Salomone Di Saverio, MD, FACS, FRCS1
[+] Author Affiliations
1Emergency Surgery and Trauma Surgery Unit, C. A. Pizzardi Maggiore Hospital Trauma Center, Bologna, Italy
JAMA. 2016;315(10):1053. doi:10.1001/jama.2015.17864.
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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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March 8, 2016
Johannes Kurt Schultz, MD; Sheraz Yaqub, MD, PhD; Tom Øresland, MD, PhD
1Department of Gastrointestinal Surgery, Akershus University Hospital, Lørenskog, Norway
2Department of Gastrointestinal Surgery, Oslo University Hospital, Oslo, Norway
3University of Oslo, Oslo, Norway
JAMA. 2016;315(10):1053-1054. doi:10.1001/jama.2015.17873.
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