Taha A Esmail, Professor, Osama H Abd-Rabo, Leccturer, Amir F Shaban, Lecturer, Tarek M Sehsah, Aassist lecturer. Tanta University-Egypt
Introduction: Hatmann's procedure is commonly done in treating complicated diverticulitis, negleccted rectal trauma with sepsis and sometimes malignancy. the traditional techniques to restore the intestinal continuity after Hartmann's procedure were for many years the standard of care in these operations, but in fact they carry many morbidity and even mortality and failure. laparoscopic techniques is not only carry the advantage of minimal invasive surgery, but also of better visualizationn and magnification. the aim is evaluating the outcome of using the laparoscope in reversal of Hartmann's procedure as regard feasibility and safety.
Patients and Method: Forty patients were subjected to laparoscopic reversal of Hatmann's procedure in Tanta University Hospital, there ages ranged between 25 to 70 years, the time elapsed after the original operation ranged from 6 months to 5 years, excluding advanced malignany. conversin occurred in 6 cases due to extensive adhesions and bleeding. Results: No mortality, or major morbidity in our study and only single leak treated by covering ilestomy. Conclusion; Laparoscopic Hartmann's procedure is feasible, promising tehnique with minimal morbidity.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86977
Program Number: P228
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster