A proactive technique for reversal of Hartmann’s procedure: lifting the rectal stump to the abdominal wall

Fukada, A.; Ogino, T.; Fujimoto, Y.; Sekido, Y.; Takeda, M.; Hata, T.; Hamabe, A.; Miyoshi, N.; Uemura, M.; Mizushima, T.; Eguchi, H.; Doki, Y.

doi:https://doi.org/10.1007/s10151-025-03128-0

A proactive technique for reversal of Hartmann’s procedure: lifting the rectal stump to the abdominal wall

Fukada, A.; Ogino, T.; Fujimoto, Y. et al.

Techniques in Coloproctology, 2025, 29(1), 85

Number of Access:1,424（2025-08-14 06:03 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/101007

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Title	A proactive technique for reversal of Hartmann’s procedure: lifting the rectal stump to the abdominal wall
Creator	CreatorName Fukada, A.
	NRID 1000050597458 1000050597458 researchmap permalink togino04 togino04 Scopus Author ID 57200254430 57200254430 CreatorName Ogino, T.
	CreatorName Fujimoto, Y.
	NRID 1000000781709 1000000781709 researchmap permalink 00781709 00781709 Scopus Author ID 57193691322 57193691322 CreatorName Sekido, Y.
	NRID 1000090768962 1000090768962 researchmap permalink takeda27832 takeda27832 CreatorName Takeda, M.
	NRID 1000080749747 1000080749747 researchmap permalink tsuyoshi_hata tsuyoshi_hata Scopus Author ID 57189996374 57189996374 CreatorName Hata, T.
	NRID 1000060621034 1000060621034 ORCID 0000-0001-5535-3514 0000-0001-5535-3514 researchmap permalink hamabe_atsushi hamabe_atsushi CreatorName Hamabe, A.
	NRID 1000020528624 1000020528624 researchmap permalink nor nor Scopus Author ID 9242781300 9242781300 CreatorName Miyoshi, N.
	NRID 1000010528483 1000010528483 ORCID 0000-0001-6285-5619 0000-0001-6285-5619 researchmap permalink mamoruuemura mamoruuemura Scopus Author ID 36796497400 36796497400 CreatorName Uemura, M.
	NRID 1000000527707 1000000527707 CreatorName Mizushima, T.
	NRID 1000090542118 1000090542118 researchmap permalink abcdabcdabcd abcdabcdabcd Scopus Author ID 7101627772 7101627772 CreatorName Eguchi, H.
	NRID 1000020291445 1000020291445 researchmap permalink ydoki3251 ydoki3251 Scopus Author ID 7006390687 7006390687 CreatorName Doki, Y.
Subject	Diverticulitis
	Hartmann’s procedure
	Laparoscopy
	Reversal of Hartmann’s procedure
	Surgery
Description	The version of record of this article, first published in Techniques in Coloproctology, is available online at Publisher’s website: https://doi.org/10.1007/s10151-025-03128-0
Abstract	Background: Reversing Hartmann’s procedure is complicated owing to dense adhesions resulting from inflammation in the pelvic region. These adhesions pose challenges in identifying the rectum and increase the risk of pelvic organ injuries. Methods: We propose a technique to lift and fix the rectal stump to the abdominal wall to diminish adhesions to the rectum and facilitate identification of the rectal stump. Results: The patient underwent Hartmann’s procedure for generalized peritonitis resulting from perforation of the sigmoid colon. The abdominal cavity was significantly contaminated with fecal ascites, and postoperative pelvic adhesions were anticipated. Therefore, the rectal stump was lifted. The outcomes demonstrated that despite the presence of dense adhesions in the abdominal cavity, the rectal segment was promptly identified during the reversal of Hartmann’s procedure. The procedure proceeded smoothly and was deemed satisfactory. Conclusions: The technique of lifting and fixing the rectal stump to the abdominal wall is useful in cases where dense pelvic adhesions are anticipated during the subsequent reversal of Hartmann’s procedure.
Publisher	Springer Science and Business Media Deutschland GmbH
Source Title	Techniques in Coloproctology
Volume (Issue)	29(1)
Page	85
Date of Issued	2025-03-24
Language	English
Handle URL	https://hdl.handle.net/11094/101007
PISSN	11236337
eISSN	1128045X
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1007/s10151-025-03128-0
Access Rights	open access
CopyRight	This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCTERMS.bibliographicCitation	Techniques in Coloproctology. 2025, 29(1), p. 85
DC.title	A proactive technique for reversal of Hartmann’s procedure: lifting the rectal stump to the abdominal wall
DC.creator	Fukada, A.
	Ogino, T.
	Fujimoto, Y.
	Sekido, Y.
	Takeda, M.
	Hata, T.
	Hamabe, A.
	Miyoshi, N.
	Uemura, M.
	Mizushima, T.
	Eguchi, H.
	Doki, Y.
DC.publisher	Springer Science and Business Media Deutschland GmbH
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2025-03-24
DC.identifier	https://doi.org/10.1007/s10151-025-03128-0
DC.subject	Diverticulitis
	Hartmann’s procedure
	Laparoscopy
	Reversal of Hartmann’s procedure
	Surgery
DC.description	The version of record of this article, first published in Techniques in Coloproctology, is available online at Publisher’s website: https://doi.org/10.1007/s10151-025-03128-0
DCTERMS.abstract	Background: Reversing Hartmann’s procedure is complicated owing to dense adhesions resulting from inflammation in the pelvic region. These adhesions pose challenges in identifying the rectum and increase the risk of pelvic organ injuries. Methods: We propose a technique to lift and fix the rectal stump to the abdominal wall to diminish adhesions to the rectum and facilitate identification of the rectal stump. Results: The patient underwent Hartmann’s procedure for generalized peritonitis resulting from perforation of the sigmoid colon. The abdominal cavity was significantly contaminated with fecal ascites, and postoperative pelvic adhesions were anticipated. Therefore, the rectal stump was lifted. The outcomes demonstrated that despite the presence of dense adhesions in the abdominal cavity, the rectal segment was promptly identified during the reversal of Hartmann’s procedure. The procedure proceeded smoothly and was deemed satisfactory. Conclusions: The technique of lifting and fixing the rectal stump to the abdominal wall is useful in cases where dense pelvic adhesions are anticipated during the subsequent reversal of Hartmann’s procedure.
DC.rights	This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
DC.format	101007
citation_title	A proactive technique for reversal of Hartmann’s procedure: lifting the rectal stump to the abdominal wall
citation_author	Fukada, A.
	Ogino, T.
	Fujimoto, Y.
	Sekido, Y.
	Takeda, M.
	Hata, T.
	Hamabe, A.
	Miyoshi, N.
	Uemura, M.
	Mizushima, T.
	Eguchi, H.
	Doki, Y.
citation_publisher	Springer Science and Business Media Deutschland GmbH
citation_language	English
citation_date	2025-03-24
citation_journal_title	Techniques in Coloproctology
citation_volume	29
citation_issue	1
citation_firstpage	85
citation_doi	https://doi.org/10.1007/s10151-025-03128-0
citation_public_url	https://hdl.handle.net/11094/101007

A proactive technique for reversal of Hartmann’s procedure: lifting the rectal stump to the abdominal wall

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