Laparoscopic reversal of Hartmann's procedure
Epublication WebSurg.com, Nov 2004;04(11). URL: http://websurg.com/doi/vd01en1367e
This video demonstrates a laparoscopic closure of a Hartmann's 6 months after it was done for a perforated diverticular disease. The surgeon gains access to the peritoneal cavity through a port placed under direct vision in the right upper quadrant. The adhesions to the midline scar are taken down. The rectal stump is identified and mobilized proximally. The colostomy is then taken down and an end to end anastomosis is made with the rectum using an EEA stapler.