医学
憩室炎
结肠造口术
结直肠癌
直肠
乙状结肠
普通外科
外科
乙状结肠扭转
扭转
结直肠外科
癌症
腹部外科
内科学
作者
S Toshev,N Iarŭmov,G Velev,Kostadin Angelov,Georgi N. Todorov,A Koĭchev,P Gribnev
摘要
In 1923 the French surgeon Henri Hartmann described an operation for resection of a cancer in the distal sigmoid and upper rectum, resulting in a permanent sigmoid colostomy. In the subsequent years, the indications for performing the Hartmann procedure have broadened to include complicated diverticulitis, ischemic bowel, iatrogenic perforations, volvulus, and colitis. Hartmann's procedure is recognised by most colorectal surgeons to be a blunt but effective method of dealing with left-sided colonic emergencies. Hartmann procedure is a safe and efficacious option for the surgeon confronted with the complex pathology of the rectosigmoid area, with acceptable morbidity and mortality.
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