Damage control surgery and open abdomen in Hinchey III–IV acute diverticulitis: current practice from a nationwide Italian survey - Takeaways - MDSpire
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Current Approaches to Damage Control Surgery and Open Abdomen Management in Hinchey III–IV Acute Diverticulitis: Insights from a Nationwide Italian Survey

  • By

  • Alessio Giordano

  • Manuela Mastronardi

  • Andrea Mingoli

  • Hayato Kurihara

  • Eugenio Cucinotta

  • Mauro Zago

  • Massimo Chiarugi

  • Roberto Cirocchi

  • Paolo Prosperi

  • Alan Biloslavo

  • Gianluca Costa

  • September 10, 2026

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  • 1

    Generalized purulent or fecal peritonitis from perforated acute colonic diverticulitis is a life-threatening emergency requiring prompt surgical intervention.

  • 2

    Damage control surgery (DCS) is an alternative strategy for unstable patients, focusing on source control and delaying reconstructive decisions.

  • 3

    Survey results indicated that Hartmann’s procedure remains the most commonly reported surgical strategy for Hinchey III–IV diverticulitis.

  • 4

    Eighty-two percent of respondents reported institutional use of open abdomen (OA) management for various indications.

  • 5

    Commercial negative-pressure systems were the most frequently used method for temporary abdominal closure among surveyed surgeons.

Original Source(s)

Damage control surgery and open abdomen in Hinchey III–IV acute diverticulitis: current practice from a nationwide Italian survey

  • by Alessio Giordano, Manuela Mastronardi, Andrea Mingoli, Hayato Kurihara, Eugenio Cucinotta, Mauro Zago, Massimo Chiarugi, Roberto Cirocchi, Paolo Prosperi, Alan Biloslavo, Gianluca Costa

  • September 10, 2026

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