Laparoscopic Hartmann reversal: Video presentation of a case
Jun Su1, Clement Lk Chia1, Surendra K Mantoo1
1Department of General Surgery, Khoo Teck Puat Hospital, Singapore.
Asian Journal of Endoscopic Surgery
|April 28, 2016
Summary
Laparoscopic Hartmann reversal (LHR) offers faster recovery and fewer infections than open surgery. This video demonstrates LHR, a complex procedure that can yield good patient outcomes when performed by experienced surgeons.
Area of Science:
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Laparoscopic Hartmann reversal (LHR) presents advantages over open Hartmann reversal (HR), including reduced recovery time and lower wound infection rates.
- Despite its benefits, LHR is technically challenging, often associated with high conversion rates from laparoscopic to open procedures.
Observation:
- This presentation details the surgical technique for LHR, emphasizing port placement and intra-abdominal adhesion management.
- The case involves a 64-year-old male patient who underwent LHR three months after a Hartmann procedure for sigmoid stricture due to diverticular disease.
Findings:
- The procedure involved careful port placement, adhesiolysis, mobilization of the left colon, and a side-to-end colorectal anastomosis.
- The patient was discharged on postoperative day 5, indicating a successful recovery.
Implications:
- LHR can serve as an initial approach to assess intra-abdominal adhesions and surgical feasibility.
- With surgical expertise, LHR can achieve favorable patient outcomes, making it a viable option for selected patients.
