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The ideal treatment for perforative complication in
diverticular disease of the colon is still now rather
Fundamental remains the simple and practical classification
of Hinchey for perforated diverticulitis, especially for a
meaningful evaluation of different experience. Without a
common reference classification the percentage differences in
mortality are completely devoid of scientific value.
From a “three stage” procedure the preferences are shifted
towards a “two stage procedure”, thanks to the improvement
of anesthetic and surgical modern facilities. The Hartmann
procedure, performed not earlier than 4-6 months is the
experience of the authors, but the ultimate choice is
conditioned by the degree of peritoneal contamination.