Indications for Surgery

- recurrent diverticulitis

- paracolic or pelvic abscess

- peritonitis

• Perforation

- colovesical

- colovaginal

- ileocolic

• Obstruction

• Major haemorrhage.

Emergency surgery is a laparotomy usually performed by the surgeon to ascertain exactly the extent and damage caused by the perforation. This is determined by using Hinchey staging (Hinchey et al., 1978).

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