Laparoscopic Reversal of Hartmann Procedure: A Single Surgeon ExperienceGhalleb Montassar1*, Bourguiba Mohamed Aboulkacem2, Baccari Aymen1, Khemir Alaeddine1, Souai Faten1, Ben Safta Yacine1, Sayari Sofiene1 and Ben Moussa Mounir1
- Corresponding Author:
- Ghalleb Montassar
General Surgery Department, Charles Nicolle Hospital, Tunisia
E-mail: [email protected]
Received Date: June 30, 2017; Accepted Date: July 01, 2017; Published Date: July 05, 2017
Citation: Montassar G, Aboulkacem BM, Aymen B, Alaeddine K, Faten S, et al. (2017) Laparoscopic Reversal of Hartmann’s Procedure: A Single Surgeon Experience. J Gen Pract (Los Angel) 5:314. doi:10.4172/2329-9126.1000314
Copyright: © 2017 Montassar G. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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.