Hartmans Procedure
Rationale
- Resection of rectosigmoid
w closure of rectal stump + stoma (colostomy/ileostomy)
- Generally for emergency
surgery Mx of volvulus with gangrene or distal malignancy when anastomosis not advisable
- Previoulsy used to treat colon
Ca or diverticulitis
- Reversible
Procedure
- Laparotomy
- Involved segment of bowel
sectioned
- Distal part of
sigmoid/rectum closed
- Proximal part
exteriorized as a stoma (colostomy/ileostomy)