The aims or background of the study: A Hartmann’s procedure is the treatment of choice for perforated diverticular disease – but has morbidity and mortality reduced over the last 20 years? In this single institution study of 199 patients who had operative procedures for perforated diverticular disease between 1992 and 2010, the answer is no. Morbidity remains high at 52% and mortality was as high as 15%.  Independent predictors of morbidity on multivariate analysis were Hinchey IV (P < 0.001) and hypoproteinaemia (P =0.001). Independent predictors for mortality were ASA > 3 (P = 0.01), abnormal creatinine (P = 0.007), steroid use (P = 0.007), Hinchey IV (P = 0.032), low albumin (P < 0.001) and low body mass index (P = 0.001).

Colorectal Disease 2012;14(8):e492–e498

Read more about this study

Synopsis provided by the


BDRF is pleased to make use of this link and hopes the information proves useful.  We recognise that this is not the only School of Surgery and would welcome further links to any other appropriate sites.