Acute diverticulitis is a common disease in the western world. Perforation of the acute diverticulitis with peritonitis is a feared complication and standard treatment (primary sigmoid resection such as Hartmann`s procedure) still has unsatisfactory results. Both mortality and morbidity are quite high. Several trials have reported a lower mortality and morbidity when acute perforated diverticulitis is treated with laparoscopic lavage instead of radical surgery. However, there are no randomized controlled trials supporting these observations.
SCANDIV is a randomized multicenter trial in Scandinavia aiming to compare primary sigmoid resection with laparoscopic lavage as treatment for acute perforated diverticulitis. We intend to include 150 patients divided in two arms over a period of 2 years. Main end-point is severe postoperative complications within 90-days.
