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The surgical treatment of perforated diverticulitis of the colon remains a controversial issue. Since 1974 the author's surgical group has consistently utilized emergency removal of the perforated section of the colon in 37 consecutive cases. Resection with primary anastomosis was done in 6 cases, and exteriorization in the remainder (Hartmann's procedure, 26 cases; Bloch‐Mikulicz, 5 cases). There were 2 postoperative deaths in elderly females. Postoperative course was uneventful in the other cases, there being no serious complications. Our conclusion is that it should be considered essential to remove a perforated colonic segment from the peritoneal cavity.

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