The Current Surgical Management of Complicated Diverticulitis: An Update on Right-sided and Left-sided Diverticulitis
Asian Journal of Medicine and Health · pp. 42–51 · Published 5 Aug 2025
10.9734/ajmah/2025/v23i81282Abstract
Acute diverticulitis is a condition that can be divided into left-sided diverticulitis and right-sided diverticulitis. Left-sided diverticulitis is seen in the sigmoid colon and accounts for most cases of diverticulitis in the West. Right-sided diverticulitis is seen in the ascending colon and is predominantly seen in Asia. It can be divided into uncomplicated and complicated diverticulitis. The surgical management of left-sided complicated diverticulitis involves Hartmann’s procedure or sigmoid resection with anastomosis. Laparoscopic lavage is a bridging procedure that is used to stabilize some patients with complicated diverticulitis. Right-sided complicated diverticulitis is treated with right hemicolectomy or ileocecal resection. In this review, we will look at the surgical management of complicated right and left-sided diverticulitis.
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