title: [Laparoscopy-assisted reoperation after sigmoid resection and Hartman rectal occlusion].
abstract: The anastomosis between the descending colon an the rectal stump after sigma-resection and blind closure of the rectum according to Hartmann could be performed as well via an open laparotomy approach as via a laparoscopic procedure. By means of a first group of five laparoscopically reoperated patients the authors are demonstrating the good practicability of their laparoscopic method. Extended adhesions in the pelvic area could be detached in all cases. The advantages of this laparoscopic operation are obvious and in the authors opinion laparoscopic assisted reconnection between colon and rectal stump seems to be a serious alternative to open surgery by laparotomy.
authors.affiliation: Abteilung für Allgemein- und Gefässchirurgie, Allgemeines öffentliches Krankenhaus Ried im Innkreis.
authors.forename: C
authors.initials: C
authors.lastname: Pernegger
authors.forename: R
authors.initials: R
authors.lastname: Hornof
authors.forename: A
authors.initials: A
authors.lastname: Keiler
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation*; D004239:Diverticulitis, Colonic / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery*; D020706:Laparoscopes; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery; D012086:Reoperation; D012811:Sigmoid Neoplasms / Q000601:surgery*
vernacular_title: Die laparoskopisch assistierte Rückoperation nach Sigmaresektion und Rectumverschluss nach Hartmann.