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Table 5 Conclusion of studies reported the use of peritoneal lavage and drainage, published up to 1980

From: A historical review of surgery for peritonitis secondary to acute colonic diverticulitis: from Lockhart-Mummery to evidence-based medicine

Author Technique Quote from publication
Lockart-Mummery 1910 The toilette of the peritoneum and abdominal drainage was the only technique performed. The visible colonic perforation, if possible to find, can be closed by suture “Perforation and general peritonitis. In these cases, though a careful toilet of the peritoneum and the establishment of adequate drainage may suffice, it is advisable, if possible to find, and close by suture, the perforation of colon”
Judd and Pollock 1924 The toilette of the peritoneum and abdominal drainage was the only technique performed. The visible colonic perforation, if possible to find, can be closed by suture “We have operated on a number of patients who had abscesses, either just draining the abscess, or draining and suturing the opening left in the colon at the point of perforation of the diverticulum”
Eggers 1931 A taylor surgery. In the arsenal of the surgeon there is also the toilette of the peritoneum and abdominal drainage. “In four patients an acute perforation took place into the- free- peritoneal cavity. One of them was drained early and recovered, another was treated expectantly for peritonitis without knowledge at that time of the underlying cause, and finally recovered, while the other two died”
Eggers 1941 A taylor surgery. In the arsenal of the surgeon there is also the toilette of the peritoneum and abdominal drainage “Drainage only”
Smithwick 1942 A taylor surgery. In the arsenal of the surgeon there is also the toilette of the peritoneum and abdominal drainage. The visible colonic perforation, if possible to find, can be closed by suture “Acute perforation. Principally ± drainage suture”
Hughes 1952 A taylor surgery. In the arsenal of the surgeon there is also the toilette of the peritoneum and abdominal drainage “Laparotomy and simple drainage of the abdomen”
Edwards 1954 A taylor surgery. In the arsenal of the surgeon there is also the toilette of the peritoneum and abdominal drainage. The visible colonic perforation, if possible to find, can be closed by suture “The prognosis after early operation in patients with no previous history, or a history of short duration, is excellent, for the bowel wall is still flexible and the perforation can readily be found and easily closed. The closure is reinforced by omentum and the pelvis drained. The real problem is in the surgical management of those cases in which there has been a long history of recurrent attacks of diverticulitis and in which at exploration the bowel is found to be immensely thickened and congested, and particularly in those in whom the actual point of perforation cannot be identified. In such an event the safest procedure is to exteriorize the bowel, if this is practicable. An alternative is to attempt to seal off the inflamed area with pericolic fat and omentum; in the old and the very ill patient the operation may need to be restricted to this procedure”.
Bacon 1956 A taylor surgery. In the arsenal of the surgeon there is also the toilette of the peritoneum and abdominal drainage. The visible colonic perforation, if possible to find, can be closed by suture “Once the diverticulum rupture is discovered and the surround bowel wall is to be fairly normal it can be quickly repaired”
Ryan 1958 A taylor surgery. In the arsenal of the surgeon there is also the toilette of the peritoneum and abdominal drainage. “Drainage alone was carried out”
Brown 1960 A taylor surgery. In the arsenal of the surgeon there is also the toilette of the peritoneum and abdominal drainage. The visible colonic perforation, if possible to find, can be closed by suture “Laparotomy and peritoneal drainage was the operation most commonly performed as palliative measure. Identification and suture of a ruptured diverticulum in the distal colon is usually impossible owing to the friable state of tissues involved, but on occasion it can be achieved”
Greig 1960 A taylor surgery. In the arsenal of the surgeon there is also the toilette of the peritoneum and the abdominal drainage. “Laparatomy and drainage only”