If you must operate on a patient presenting with purulent peritonitis secondary to sigmoid diverticular perforation do not throw the baby out with the bathwater, not yet .
[Prevention of the development of additional purulent-septic complications in peritonitis of various etiologies, taking into account reduced reactivity].
The ladies trial: laparoscopic peritoneal lavage or resection for purulent peritonitis and Hartmann's procedure or resection with primary anastomosis for purulent or faecal peritonitis in perforated diverticulitis (NTR2037).
Swank HA, Vermeulen J, Lange JF, Mulder IM, van der Hoeven JA, Stassen LP, Crolla RM, Sosef MN, Nienhuijs SW, Bosker RJ, Boom MJ, Kruyt PM, Swank DJ, Steup WH, de Graaf EJ, Weidema WF, Pierik RE, Prins HA, Stockmann HB, Tollenaar RA, van Wagensveld BA, Coene PP, Slooter GD, Consten EC, van Duijn EB, Gerhards MF, Hoofwijk AG, Karsten TM, Neijenhuis PA, Blanken-Peeters CF, Cense HA, Mannaerts GH, Bruin SC, Eijsbouts QA, Wiezer MJ, Hazebroek EJ, van Geloven AA, Maring JK, D'Hoore AJ, Kartheuser A, Remue C, van Grevenstein HM, Konsten JL, van der Peet DL, Govaert MJ, Engel AF, Reitsma JB, Bemelman WA; Dutch Diverticular Disease (3D) Collaborative Study Group.
BMC Surg. 2010 Oct 18;10:29. doi: 10.1186/1471-2482-10-29.
PMID:20955571
Circulatory shock associated with purulent peritonitis.
Vincent JL, Weil MH, Puri V, Carlson RW.
Am J Surg. 1981 Aug;142(2):262-70. doi: 10.1016/0002-9610(81)90290-7.