Bagul A* and Shrotri M
Department of Colorectal Surgery, University Hospital of Aintree, UKFulltext PDF
Introduction: Restoration of continuity of colon after a Hartmann’s procedure is associated with substantial morbidity and mortality. Traditionally the procedure is carried out as an open procedure. Implementation of laparoscopic technique has been employed in our series of cases. We describe our experience in a series of patients who underwent a Laparoscopic Reversal of Hartmann’s Procedure (e LapRHP).
Aim: To analyse our experience at eLapRHP.Method and
Results: Ten patients underwent laparoscopic reversal of Hartmann’s procedure (LapRHP) at University hospital of Aintree by one consultant. All cases had initial surgery for peritonitis due to diverticular perforation. Laparoscopic approach was successful in all cases. The median time to closure of colostomy was 5.5(2-14) months. The mean inpatient stay was 6(4-15) days. Median operation time was 3.25(2.5-5) hours. Minor complications such as ileus and wound infection were seen in 2(22.2%). There were no anastomtic leaks and no mortality. Follow up period was 6(2-12) months. No long term complications seen.Conclusion: eLapRHP is a safe alternative to the traditional open reversal procedure and should be a recommended approach.
Bagul A, Shrotri M. Laparoscopic Reversal of Hartmann's Procedure (Elaprhp). Clin Surg. 2017; 2: 1337.