Editing Diverticular disease (section)

== '''Trials''' ==

* LOLA trial (2015) - purulent     perforated diverticulitis (H3) was randomised to either laparoscopic     lavage or Hartman's procedure
** Increased morbidity      (primarily re-operation) in the lavage group
* SCANDIV trial (2015) - also     found a high rate of re-operation in lavage, concluded that lavage is     inferior to resection
* DILALA trial (2018) - Hinchey     III randomised to lavage vs Hartman's
** Reduced risk of      re-intervention (including stoma reversal) in lavage group, with same      length of stay
** Authors concluded that      lavage is a safe alternative
* DIRECT trial (2019) -     ?surgery for recurrent left-sided diverticulitis
** 5-year improved QoL in      surgery group, despite 11% anastomotic leak rate and 15% re-intervention      rate