Introduction:

The diverticular disease of the colon is a recent ailment having remarkable increase in the 20th century. The most appropriate surgical management of this disease has always been a topic of controversy about its most severe condition, that is, diverticulitis. There are two main therapeutic options: Hartmann’s surgery and primary anastomosis resection.

Objective:

To evaluate the therapeutic options for Hinchey III left-sided colon diverticular peritonitis.

Methods:

A descriptive case-series study was conducted on the basis of discussion and implementation of a standard method of treatment used for this pathology in the Clinical and Surgical Hospital of Holguin from 2014 to 2016. The universe and the sample were the same, with 78 surgical patients.

Results:

The most used surgical procedure was primary anastomosis resection. Most of the interventions lasted more than 2 hours. Hartmann’s procedure was the one with more complications and high postoperative mortality.

Conclusions:

Among the current surgical techniques for the treatment of Hinchey III diverticulitis, it was established that the primary anastomosis resection is the most adequate therapy.

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