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Chirurgia 2011 June;24(3):147-9

language: English

Early reversal of Hartmann’s procedure for complicated diverticular disease during the same admission using topical negative pressure: a novel concept

Shaikh I. A., Amin A. I., Vanleenhoff J. W., Yalamarthi S.

Department of General and Colorectal Surgery, Queen Margaret Hospital, Dunfermline, Scotland, UK


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Management of acute left sided colonic disease due to acute diverticular complications is a controversial area. Although recent reports suggest that primary resection and anastomosis can be safely carried out in the acute situation, there are circumstances where Hartmann’s procedure continues to be a safer option. It is well documented that subsequent reversal of stoma rates is low due to various reasons. We describe a novel approach where with the help of topical negative pressure using a wound vac system, we could safely carry out reversal of the stoma during the same admission after physiological improvement of the patient’s clinical condition. This management policy was used in 2 of our patients is described.

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