Laparoscopic-assisted reversal of Hartmann's procedure: a simplified technique and audit of twelve cases.
Laparoscopic-assisted reversal of Hartmann's procedure was performed in 12 patients over a 2-year period. The group comprised three patients with colonic carcinoma and nine with diverticular disease, their mean age being 62 years (range 40-73). In all twelve cases, intestinal continuity was successfully restored, without conversion to open surgery, in a median anesthetic time of 165 min (range 110-240). One patient required a temporary defunctioning colostomy and two other patients had three complications. The median postoperative hospital stay was 8 days (range 5-12). We report a retrospective audit of this consecutive series of 12 patients, showing that laparoscopic-assisted reversal of Hartmann's is technically feasible. We also give details of the morbidity associated with the technique.
Department of Surgery, Stobhill NHS Trust, Glasgow, Scotland, United Kingdom.
S C
SC
Macpherson
D T
DT
Hansell
C
C
Porteous
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D003125:Colostomy; D004239:Diverticulitis, Colonic / Q000601:surgery; D004241:Diverticulum, Colon / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D012811:Sigmoid Neoplasms / Q000601:surgery*; D014946:Wound Infection / Q000209:etiology