Document Detail

Total Laparoscopic Reversal of Hartmann's Procedure.
MedLine Citation:
PMID:  23317614     Owner:  NLM     Status:  In-Data-Review    
Hartmann's procedure is still performed in those cases in which colorectal anastomosis might be unsafe. Reversal of Hartmann's procedure (HR) is considered a major surgical procedure with a high morbidity (55 to 60%) and mortality rate (0 to 4%). To decrease these rates, laparoscopic Hartmann's reversal procedure was successfully experienced. We report our totally laparoscopic Hartmann's reversal technique. Between 2004 and 2010 we performed 27 HRs with a totally laparoscopic approach. The efficacy and safety of this technique were demonstrated evaluating the operative data, postoperative complications, and the outcome of the patients. There were no open conversions or major intraoperative complications. Anastomotic leaking occurred in one patient requiring an ileostomy; one patient needed a blood transfusion and one had a nosocomial pneumonia. The mean postoperative hospitalization was 5.7 days. Laparoscopic HR is a feasible and safe procedure and can be considered a valid alternative to open HR.
Luigi Masoni; Francesco Saverio Mari; Giuseppe Nigri; Francesco Favi; Fioralba Pindozzi; Anna Dall'oglio; Alessandra Pancaldi; Antonio Brescia
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  79     ISSN:  1555-9823     ISO Abbreviation:  Am Surg     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  67-71     Citation Subset:  IM    
Department of Surgery, St. Andrea Hospital, School of Medicine and Psicology, University Sapienza of Rome, Rome, Italy.
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