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Reintervention for anastomotic colorectal stenosis after laparoscopic reversal of Hartmann's procedure

J Leroy, MD, FRCS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Apr 2012;12(04). URL: http://websurg.com/doi/vd01en3030

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  • 2012-04-09
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The objective of this film is to demonstrate the different steps to resect a stenotic colorectal anastomosis following a Hartmann's reversal procedure and to perform a new anastomosis. The author outlines tips and tricks that allow for pelvic access which is often the seat of abundant adhesions. In addition, prior to undoing the new anastomosis, it is mandatory to check if it is possible to free the rectal stump. The author also shows the principles of a completely laparoscopic technique.