NA;Ninetyhyphen;three patients who underwent surgery were studied retrospectively over a fivehyphen;year period for complications of diverticular disease, including free perforation in 32 patients lpar;with fecal peritonitis in Srpar;, inflammation or peritonitis in 22 patients, an abscess in 11 patients, and intestinal obstruction in 14 patients. Sixtyhyphen;eight patients lpar;73 percentrpar; had systemic symptoms and signs consistent with serious sepsis. There has been a growing popularity of the Hartmann procedure throughout the study period. The overall 30hyphen;day mortality rate was 10.8 percent. Because of a high proportion of poorhyphen;risk patients, the Hartmann group fared particularly badly compared withhyphen;those who had other operations, with a 28 percent mortality rate, 69 percent incidence of major complications, and one third of the survivors having a permanent colostomy. Other operative procedures are discussed, but until prospective data become available, it is unlikely that the widespread popularity of the Hartmann procedure will decline. Therefore, the importance of meticulous attention to technical detail is stressed if results are to improve.
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