Perforated Diverticulitis: To Anastomose or Not to Anastomose? A Systematic Review and Meta-Analysis

•No consensus has been reached in the management of perforated diverticulitis: Hartmann's vs. primary anastomosis.•Primary anastomosis seems to be a feasible option in select patient populations with comparable morbidity and mortality.•Paucity of good quality evidence means it is difficult to draw definite conclusions.