PMID: 11933632Apr 6, 2002Paper

Laparoscopic re-establishment of digestive continuity following Hartmann's procedure. Retrospective study of the French Society of Endoscopic Surgery

Annales de chirurgie
C VacherJ Domergue

Abstract

Reversal of the Hartmann's procedure is associated with a high morbidity. The aim of this study was to evaluate the feasibility and results of laparoscopic reversal of the Hartmann's procedure. Thirty eight consecutive patients, mean age 60 +/- 13.5 years were included in this retrospective study. The most common indication for the primary procedure was diverticular disease (70%). The mean time from the primary operation to the reconstruction was 136 +/- 124 days. The stoma was first dissected in 24 patients, allowing introduction of the first port. In the remaining 14 patients a standard umbilical port was inserted. The amount of adhesions was classified as low in 13 patients, mild in 15 patients and severe in 10 patients. All patients had a mechanical anastomosis. The conversion rate was 15%, due to adhesion problems in 5 patients and for a positive leakage test in one. The morbidity rate was 23.5% including 8 surgical complications. One patient died after post operative peritonitis complicating an anastomic leakage. The average hospital stay was 10 +/- 4.4 days. Our results indicate that laparoscopic reversal after Hartmann's procedure is feasible. The morbidity is lower than after classical open reconstruction. The presence...Continue Reading

Citations

Oct 7, 2006·Surgical Endoscopy·M KhaikinY Munz
Dec 22, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jean Pierre FaureMichel Scépi
Aug 2, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J V RoigUNKNOWN Sociedad Valenciana de Cirugía Cooperative Group
Aug 24, 2011·International Journal of Colorectal Disease·Federico CostantinoJacques Marescaux
Dec 20, 2012·Techniques in Coloproctology·R S TurleyJ Migaly
Sep 12, 2014·Gastroenterology Research and Practice·Adriana ToroIsidoro Di Carlo
Apr 15, 2016·Updates in Surgery·Alessandra Lucchetta, Nicolò De Manzini
Feb 22, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Thomas CarusHeiko Lienhard
Aug 20, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J LeroyJ Marescaux
May 23, 2013·The British Journal of Surgery·C CelliniF J Fleming
May 24, 2014·ANZ Journal of Surgery·Phillip F Yang, Matthew J Morgan
Mar 29, 2014·World Journal of Surgery·Markus ZimmermannErik Schlöricke
Feb 25, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Julian E LosanoffJames W Jones
Sep 30, 2014·Updates in Surgery·Valentino FisconFlavio Frigo
Jul 24, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M R S SiddiquiM K Baig

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