Surgery for Sigmoid Diverticular Disease—How the East Differs from the West?

Diverticular disease is a major healthcare problem in the West and recent studies indicate an increase in its incidence in India. Data on surgical management of diverticulitis in India is sparse. This study aims to report our experience of the surgical management of sigmoid diverticular disease over a 7-year duration. This study reports a case series analysis of data obtained from a database of patients undergoing surgery for colorectal diseases at a tertiary care setup in India. Patients who were operated on between January 2016 and January 2023 for sigmoid diverticular disease were selected for this study. A total of 102 patients were operated on for sigmoid diverticular disease with 81 patients (79.4%) being operated on electively and 21 (20.6%) emergency surgeries. The most common indication for surgery in elective setting was complicated diverticulitis with colovesical/colovaginal fistula, and in emergency setting, intestinal obstruction was the most common indication. In the Indian scenario, surgery for colovesical/colovaginal fistulae is a more common indication than recurrent acute diverticulitis.