Evidence map›Paper›PMID 40126613›Full record

ArticleTechniques in coloproctology2025

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

A Fukada, T Ogino, Y Fujimoto, Y Sekido, M Takeda, T Hata, A Hamabe, N Miyoshi, M Uemura, T Mizushima and 2 more

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PubMed Full text at PMC Publisher
In one paragraph

Article in Techniques in coloproctology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

A FukadaDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 (E2) Yamadaoka, Suita, Osaka, 5650871, Japan.
T OginoDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 (E2) Yamadaoka, Suita, Osaka, 5650871, Japan. togino04@gesurg.med.osaka-u.ac.jp.ORCID 0009-0003-8627-2401
Y FujimotoDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 (E2) Yamadaoka, Suita, Osaka, 5650871, Japan.
Y SekidoDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 (E2) Yamadaoka, Suita, Osaka, 5650871, Japan.
M TakedaDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 (E2) Yamadaoka, Suita, Osaka, 5650871, Japan.
T HataDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 (E2) Yamadaoka, Suita, Osaka, 5650871, Japan.
A HamabeDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 (E2) Yamadaoka, Suita, Osaka, 5650871, Japan.
N MiyoshiDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 (E2) Yamadaoka, Suita, Osaka, 5650871, Japan.
M UemuraDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 (E2) Yamadaoka, Suita, Osaka, 5650871, Japan.
T MizushimaDepartment of Gastroenterological Surgery, Osaka Police Hospital, Osaka, Japan.
H EguchiDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 (E2) Yamadaoka, Suita, Osaka, 5650871, Japan.
Y DokiDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 (E2) Yamadaoka, Suita, Osaka, 5650871, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReversing 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.

methodsWe 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.

resultsThe 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.

conclusionsThe 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.

Indexed as

Abdominal WallColostomyPeritonitisPostoperative ComplicationsRectumAnastomosis, SurgicalColon, SigmoidFemaleHumansIntestinal PerforationMiddle AgedReoperationTissue AdhesionsDiverticulitisHartmann’s procedureLaparoscopyReversal of Hartmann’s procedureSurgery

Identifiers

PMID40126613
PMCPMC11933214

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