Hartmans Procedure

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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)