Revista de práctica general

Laparoscopic Reversal of Hartmann Procedure: A Single Surgeon Experience

Abstract

Bourguiba Mohamed Aboulkacem, Ghalleb Montassar, Baccari Aymen, Souai Faten, Ben Safta Yacine, Sayari Sofiene and Ben Moussa Mounir

Introduction: The laparoscopic reversal Hartmann procedure is a challenging technique showing promising results in comparison to the open procedure.

Aim: Report a single surgeon experience showing promising results.

Results: It’s a twelve patient’s case series. The median age was 62 years old. The mean operative time was 148.16 min (75-210 min). No per-operative complication was reported. Only one procedure was converted to laparotomy due to severe pelvic adhesions. All patients ambulated on postoperative day 1. The Mean time to the recovery of the bowel movement was Two days (1 to 4 days). The mean time to Oral analgesia intake was 1.66 days (1 to 3). The mean time of hospital stay was 5.66 Days (4 to 8). Two patients had complication in a mean time of 18 days after the surgery.

Conclusion: The laparoscopic reversal Hartmann procedure is a safe technique showing promising results but in the hand of trained laparoscopic surgeon.