CASE REPORTS   

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

Copyright © 2011 EDIZIONI MINERVA MEDICA

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

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.