KMID : 0978820100130010031
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons 2010 Volume.13 No. 1 p.31 ~ p.34
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Laparoscopically Assisted Hartmann¡¯s Procedure Followed by Laparoscopic Reversal in a Patient with Peritonitis Induced by Colonic Perforation
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Yu Hye-Mi
An Min-Sung Bae Ki-Beom Hong Kwan-Hee
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Abstract
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lthough laparoscopic surgery has been adopted for the treatment of peritonitis since the time laparoscopy was introduced for emergency operations, a laparoscopic Hartmann¡¯s procedure has not been described. We report on a Hartmann¡¯s procedure and its reversal for the treatment of peritonitis from colonic perforation by laparoscopic surgery. A 43-year-old female was diagnosed with fecal peritonitis due to a colonic perforation in the rectosigmoid colon. Five trocars were used and a Lapdisc¢ç (Hakko medical, Japan) was placed at the previous Phannelstiel incision site. One hundred sixty minutes were needed for the laparoscopic Hartmann¡¯s procedure following peritoneal lavage. An oral diet was started at the postoperative 6th day and the patient was discharged on the 20th day with complete recovery. Hartmann¡¯s reversal was laparoscopically performed 3 months later. A Lapdisc was placed at the colostomy site following colostomy take-down. Four trocars were inserted at the same area as the first operation. The operative time was 180 minutes. There were no postoperative complications.
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KEYWORD
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Laparoscopic Hartmann¡¯s procedure, Hartmann¡¯s reversal, Colonic perforation, Peritonitis
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