Single Access Laparoscopic Colostomy Closure

Jimmy Y Chung, MD. Surgical Associates of Monterey Bay

Introduction: This paper describes a novel method of using Single Access Laparoscopy to reverse a colostomy from a standard Hartmann’s procedure.

Methods: A patient who underwent a Hartmann’s procedure for a perforated diverticulitis three months previously underwent reversal of colostomy by laparoscopy. The stoma itself was incised via a circular incision, dissected from the abdominal wall, and prepared for a circular stapling device. The opening in the abdominal wall was then used for the Single Access device. The pelvic dissection and end-to-end anastomosis using a circular stapling device was then performed laparoscopically without any additional incisions.

Results: The patient recovered from the surgery and was discharged from the hospital without delay or complications.

Conclusion: Single Access Laparoscopy can be a novel method of colostomy reversal that results in excellent patient outcome and minimizes incisional complications.

Session: Poster
Program Number: P120
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