A proactive technique for reversal of Hartmann’s procedure: lifting the rectal stump to the abdominal wall

• DOI: 10.1007/s10151-025-03128-0
• Publication Date: 2025-03-26T03:55:57Z
• Authors: A. Fukada; T. Ogino; Y. Fujimoto; Y. Sekido; M. Takeda; T. Hata; A. Hamabe; N. Miyoshi; M. Uemura; T. Mizushima; H. Eguchi; Y. Doki
• Keywords: Abdominal cavity; Perforation; Colorectal Surgery; Pelvic cavity

Reversing Hartmann's procedure is complicated owing to dense adhesions resulting from inflammation in the pelvic region. These pose challenges identifying rectum and increase risk of organ injuries. We propose a technique lift fix rectal stump abdominal wall diminish facilitate identification stump. The patient underwent for generalized peritonitis perforation sigmoid colon. cavity was significantly contaminated with fecal ascites, postoperative were anticipated. Therefore, lifted. outcomes demonstrated that despite presence cavity, segment promptly identified during reversal procedure. proceeded smoothly deemed satisfactory. lifting fixing useful cases where are anticipated subsequent