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Laparoscopic reversal of Hartmann's procedure

Reversal of Hartmann's procedure is a major surgical procedure associated with significant morbidity and mortality. Because of the difficulty of the procedure, laparoscopic reversal of Hartmann's procedure is not well established. We describe our experience with this laparoscopic procedure...

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Detalles Bibliográficos
Autores principales: Park, Joong-Min, Chi, Kyong-Choun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Surgical Society 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3319781/
https://www.ncbi.nlm.nih.gov/pubmed/22493768
http://dx.doi.org/10.4174/jkss.2012.82.4.256
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author Park, Joong-Min
Chi, Kyong-Choun
author_facet Park, Joong-Min
Chi, Kyong-Choun
author_sort Park, Joong-Min
collection PubMed
description Reversal of Hartmann's procedure is a major surgical procedure associated with significant morbidity and mortality. Because of the difficulty of the procedure, laparoscopic reversal of Hartmann's procedure is not well established. We describe our experience with this laparoscopic procedure to assess its difficulty and safety. Five patients (4 men and 1 woman) underwent laparoscopic reversal of Hartmann's procedure (LRHP). The initial surgeries were performed to manage obstructive colorectal cancer for 4 patients, and rectovesical fistula for one patient. The procedure was laparoscopically completed for 4 patients. Conversion to open laparotomy was required for one patient, secondary to massive adhesion in lower abdomen. Transient ileostomies were made in 2 cases. Operative time ranged from 240 to 545 minutes. There was no operative mortality. LRHP can be performed safely by an experienced surgeon. However, it is still technically challenging and time consuming.
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spelling pubmed-33197812012-04-10 Laparoscopic reversal of Hartmann's procedure Park, Joong-Min Chi, Kyong-Choun J Korean Surg Soc Case Report Reversal of Hartmann's procedure is a major surgical procedure associated with significant morbidity and mortality. Because of the difficulty of the procedure, laparoscopic reversal of Hartmann's procedure is not well established. We describe our experience with this laparoscopic procedure to assess its difficulty and safety. Five patients (4 men and 1 woman) underwent laparoscopic reversal of Hartmann's procedure (LRHP). The initial surgeries were performed to manage obstructive colorectal cancer for 4 patients, and rectovesical fistula for one patient. The procedure was laparoscopically completed for 4 patients. Conversion to open laparotomy was required for one patient, secondary to massive adhesion in lower abdomen. Transient ileostomies were made in 2 cases. Operative time ranged from 240 to 545 minutes. There was no operative mortality. LRHP can be performed safely by an experienced surgeon. However, it is still technically challenging and time consuming. The Korean Surgical Society 2012-04 2012-03-27 /pmc/articles/PMC3319781/ /pubmed/22493768 http://dx.doi.org/10.4174/jkss.2012.82.4.256 Text en Copyright © 2012, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0 Journal of the Korean Surgical Society is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Park, Joong-Min
Chi, Kyong-Choun
Laparoscopic reversal of Hartmann's procedure
title Laparoscopic reversal of Hartmann's procedure
title_full Laparoscopic reversal of Hartmann's procedure
title_fullStr Laparoscopic reversal of Hartmann's procedure
title_full_unstemmed Laparoscopic reversal of Hartmann's procedure
title_short Laparoscopic reversal of Hartmann's procedure
title_sort laparoscopic reversal of hartmann's procedure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3319781/
https://www.ncbi.nlm.nih.gov/pubmed/22493768
http://dx.doi.org/10.4174/jkss.2012.82.4.256
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