World Journal of Laparoscopic Surgery

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VOLUME 3 , ISSUE 1 ( January-April, 2010 ) > List of Articles

REVIEW ARTICLE

Laparoscopic Reversal of Hartmann's Procedure

K Kilic, K Ulker

Citation Information : Kilic K, Ulker K. Laparoscopic Reversal of Hartmann's Procedure. World J Lap Surg 2010; 3 (1):7-11.

DOI: 10.5005/jp-journals-10007-1074

Published Online: 00-04-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective

To assess the outcomes of laparoscopic and open reversal of Hartmann's procedure.

Methods

Studies of laparoscopic reversal of Hartmann's procedure with comparison of open approache are searched from medical literature and outcomes of the approaches made.

Results

Laparoscopic reversal of Hartmann's procedure with the advantages of smaller incisions, decreased postoperative pain, shorter recovery time, and early return to normal activity may reduce morbidity rates. And laparoscopic approach has a clear advantage over open approach for mobilization of the splenic flexure by avoiding an upper abdominal incision and its potentially increased respiratory complications when mobilization is mandotary. The most commonly reported reason for conversion to laparotomy was the failure to identify the rectal stump and conversion rate is between 4 to 22%. There are only two studies directly comparing laparoscopic and open reversal approaches, up-to-date.

Conclusion

Laparoscopic reversal of Hartmann's procedure for restoration of intestinal continuity can be performed with low morbidity and a short hospital stay.


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