Diverticulitis occurs when small pouches called diverticula, which form along the walls of the colon, become inflamed or infected. While many cases of diverticulitis can be managed with antibiotics, dietary modifications, and rest, some patients experience complications or recurrent episodes that require surgical treatment.
When Surgery Is Recommended
Surgery for diverticulitis is typically considered in the following situations. Complicated diverticulitis involving an abscess, perforation, fistula, or bowel obstruction often requires surgical intervention to prevent life-threatening complications. Patients who experience recurrent episodes of diverticulitis, particularly those with multiple hospitalizations or flares that significantly impact quality of life, may benefit from elective surgery to remove the affected portion of the colon.
Emergency surgery may be necessary when a diverticular perforation leads to peritonitis, a serious infection of the abdominal cavity. In these cases, prompt surgical intervention is critical. Additionally, patients who develop a fistula, an abnormal connection between the colon and another organ such as the bladder, typically require surgery to repair the affected tissue.
Surgical Options
The most common surgical procedure for diverticulitis is a sigmoid colectomy, in which the diseased portion of the colon is removed and the healthy ends are reconnected. At MISH Hospital, our surgeons perform this procedure using minimally invasive laparoscopic and robotic-assisted techniques whenever possible, which result in smaller incisions, less post-operative pain, and faster recovery times compared to traditional open surgery.
In some complicated cases, a temporary colostomy may be required to allow the bowel to heal before the reconnection procedure is performed.
Recovery and Outcomes
Patients who undergo elective surgery for diverticulitis generally experience excellent outcomes, with most returning to normal activities within four to six weeks. The recurrence rate of diverticulitis after surgery is very low, providing lasting relief from a condition that may have caused years of discomfort and disruption.
If you are experiencing recurrent or complicated diverticulitis, the surgical team at MISH Hospital in Lenexa, Kansas can help you evaluate whether surgery is the right option. Contact us at (913) 322-7408 to schedule a consultation.