Laparoscopic Hartmann’s procedure: a viable option for treatment of acutely perforated diverticultis

Agaba, Emmanuel A.; Zaidi, Raza; Ramzy, Peter; Aftab, Muhammad; Rubach, Eugene; Gecelter, Gary; Ravikumar, Thanjur S.; DeNoto, George

doi:10.1007/s00464-009-0380-z

Cited by 44 publications

(24 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regarding the way of entry; many authors have used the umbilical Hasson technique [8][9][10]. This method allows the exploration of the abdominal cavity, assessment of the feasibility of laparoscopy and adhesiolysis; with dissection of the colostomy under direct vision [4].…”

Section: Operative Datamentioning

confidence: 99%

Laparoscopic Reversal of Hartmann Procedure: A Single Surgeon Experience

Aboulkacem¹,

Ghalleb²,

Baccari³

et al. 2017

J Gen Pract

View full text Add to dashboard Cite

Section: Operative Datamentioning

confidence: 99%

Laparoscopic Reversal of Hartmann Procedure: A Single Surgeon Experience

Aboulkacem¹,

Ghalleb²,

Baccari³

et al. 2017

J Gen Pract

View full text Add to dashboard Cite

“…Hinchey III patients in whom exploration of the abdomen is not satisfactory because of adhesions or obstruction and patients with severe peritonitis with numerous false membranes should be considered for conversion to open surgery [223,224,226] or should undergo laparoscopic emergency colonic resection, but only if performed by experienced hands (LE 3b) [233][234][235]. Of note, elective resection of the diseased segment decreases the risk of conversion and increases the rate of primary anastomosis compared to emergency surgery (LE 5).…”

Section: Acute Diverticulitismentioning

confidence: 99%

Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES)

et al. 2012

View full text Add to dashboard Cite

Background In January 2010, the SICE (Italian Society of Endoscopic Surgery), under the auspices of the EAES, decided to revisit the clinical recommendations for the role of laparoscopy in abdominal emergencies in adults, with the primary intent being to update the 2006 EAES indications and supplement the existing guidelines on specific diseases. Methods Other Italian surgical societies were invited into the Consensus to form a panel of 12 expert surgeons. In order to get a multidisciplinary panel, other stakeholders involved in abdominal emergencies were invited along with a patient's association.

show abstract

“…El tratamiento de elección en la mayoría de los casos es la resección del segmento colónico que incluya la perforación y la creación de una colostomía proximal. Muchos autores se refieren a ésta como cirugía de Hartmann, que por definición incluye la resección del sigmoides, cierre del muñón rectal y creación de una colostomía terminal, lo cual puede hacerse por vía laparoscópica 12,13 . Algunos cirujanos han sugerido que, especialmente en pacientes cursando con una sepsis severa y que se encuentran hemodinámicamente inestables, el objetivo inicial debiera ser una resección expedita limitada al segmento comprometido 14 , a veces llamada "perforectomía", en la cual puede dejarse parte del sigmoides, hasta que el paciente se recupera de la cirugía inicial.…”

Section: Alternativas De Manejo Quirúrgico Para La Diverticulitis Aguunclassified

Diverticulitis aguda complicada: tendencias en el tratamiento actual

Readi

et al. 2012

Rev Chil Cir

View full text Add to dashboard Cite

Acute complicated diverticulitis. New trends in treatmentDiverticular disease refers to the presence of colon diverticula. Its prevalence increases with age and in a few cases present as diverticulitis. Acute complicated diverticulitis is potentially mortal, since it can perforate and require emergency surgery. the treatment of choice is the excision of the perforated segment and the creation of a proximal colostomy. there are other therapeutic alternatives such as excision with primary anastomosis and novel approaches such as laparoscopic peritoneal lavage. We herein review the new treatments of acute diverticulitis.Key words: Diverticular disease, diverticulitis, colectomy, laparoscopic lavage. ResumenLa enfermedad diverticular se refiere a la presencia de divertículos en el colon. Su prevalencia aumenta con la edad y sólo en pocos casos se presenta como diverticulitis aguda. La diverticulitis aguda complicada es una condición potencialmente mortal, por la posibilidad de una perforación libre que requiera cirugía de urgencia. El tratamiento de elección en la mayoría de los casos es la resección del segmento colónico que incluya la perforación y la creación de una colostomía proximal. Existen otros tratamientos en el manejo quirúrgico de la diverticulitis perforada, como la resección con anastomosis primaria y nuevas aproximaciones, como el lavado peritoneal por vía laparoscópica. Se revisa y discute en este artículo la tendencia actual en el manejo de la diverticulitis aguda perforada.Palabras clave: Enfermedad diverticular, diverticulitis aguda, colectomía, lavado peritoneal laparoscópico.

show abstract

Laparoscopic Hartmann’s procedure: a viable option for treatment of acutely perforated diverticultis

Abstract: Laparoscopic Hartmann's procedure and laparoscopic takedown are technically feasible procedures with reasonable outcomes.

Cited by 44 publications

References 22 publications

Laparoscopic Reversal of Hartmann Procedure: A Single Surgeon Experience

Laparoscopic Reversal of Hartmann Procedure: A Single Surgeon Experience

Diverticulitis aguda complicada: tendencias en el tratamiento actual

Contact Info

Product

Resources

About