Reconstructing colonic continuity after the Hartmann operation

We present our experience in a series of 25 cases involving reconstruction of bowel continuity after the Hartmann operation for perforated diverticulitis. The term "colostomy closure" has been judiciously avoided because in no way are these procedures comparable. Careful timing and restraint are encouraged to allow adequate recovery from the initial disease process and resultant surgery. Some technical aids are mentioned which may assist in limiting morbidity and mortality.