So here I am in NYC at the American Society of General Surgeons clinical meeting. The program is correctly termed controversies as I’m quite certain many of the described treatment paths would cause you to fail your oral boards.
Of note is that it seems that most of the attendees have been in practice for over 10 years. The lecturers are mostly all teaching faculty at the local ivory tower and they seem to use less invasive treatment and laparoscopy far more than I would.
For example, laparoscopic closure of diverticular perforation with irrigation and drainage but no resection. Not sure I would ever do this open so I can’t see why it’s an acceptable treatment plan laparoscopically. Maybe I’m just old fashioned.