Preoperative Preparation

• Intravenous antibiotics & resuscitation if presenting as diverticulitis.
• Transfusion, if presenting with GI bleeding.

Procedure

• The small intestine along with the diverticulum is delivered into the wound. Soft bowel clamps are applied proximally & distally.
• Depending on the configuration of the neck of the diverticulum it can be excised with or without small bowel resection.
• If after a diverticulum alone is excised, the small bowel is closed transversely to prevent stenosis.
• If the small bowel is resected along with the diverticulum then an end-to-end anastomosis is fashioned.