Laparoscopic Hartmann s Reversal: A Single Center Experience

Abstract

RezumatChirurgia colorectalã minimal invazivã prezintã numeroase avantaje în ceea ce priveşte morbiditatea, abordul laparoscopic utilizat în cazul repunerilor în tranzit dupã Hartmann îmbunãtãţind rata de repunere şi evoluţia postoperatorie. A fost analizatã baza de date a Institutului Clinic Fundeni, Departamentul de Chirurgie Generalã, fiind selectate cazurile de refacere a continuitãţii intestinale utilizând laparoscopia. Au fost identificate nouã cazuri, cu vârsta medianã de 63 de ani, cu o medie a BMI-ului de 29, dintre care trei pacienţi operaţi iniţial deschis. Timpul operator mediu a fost de 223 de minute şi nu au necesitat ileostomie de protecţie. Nu au fost raportate cazuri de dehiscenţã de anastomozã. Abordul laparoscopic rãmâne o alternativã fezabilã pentru repunerea în tranzit dupã operaţia Hartmann, luând în considerare experienţa echipei chirurgicale şi particularitaţile pacientului. Sunt necesare studii suplimentare pe loturi mai mari pentru a stabili clar avantajele acestui abord. AbstractMinimally invasive colorectal surgery showed multiple advantages in terms of morbidity, surgeons applied this approach to Hartmann reversal considering improving the reversal rate and postoperative

Effects of Laparoscopic Hartmann Reversal on Short-term Operative Outcomes Among Vietnamese Patients

“…There were only three metaanalysis studies, one of which was based from the results of the American College of Surgeons National Surgical Quality Improvement Program database. [17][18][19] Most retrospective studies included 20 patients [20][21][22][23] ; Park et al investigated 5 patients in particular. 24 Despite the fact that our study included only 66 patients, this was still a major study on laparoscopic reversal of the Hartmann procedure conducted in Asia; furthermore, this is the only study to date that has assessed the safety and advantage of laparoscopic reversal of the Hartmann procedure within the Vietnamese setting.…”

Reversal of Hartmann's Procedure: Evaluating Outcomes of Single-Port Laparoscopic Approach Versus Conventional Approach

“…A circular-end-to-end anastomosis (CEEA) stapler is inserted transanally. After successful anastomosis, port sites are closed using non-absorbable sutures using the ostomy site approach and involves delayed closure, packing, and secondary intention [13][14][15]. Studies show that patients undergoing laparoscopic colostomy reversal have shown a reduced risk of complication compared to those who underwent OS [1,3,13,[16][17][18].…”