Novel Method for Reversal of Hartmann’s procedure Using Magnetic Compression Anastomosis

Abstract

Abstract Hartmann’s procedure is a useful surgical procedure for emergent cases, such as colonic perforation. With the increased use of this procedure, a new problem has emerged for surviving patients. Reversal of Hartmann’s procedure is reported to have high mortality and morbidity rates, and often becomes a permanent stoma even if it is ideally reversible. Herein, we developed a new Hartmann’s reversal method using magnetic compression anastomosis to improve the rate of reversal. During Hartmann’s procedure, the serosa of the residual rectal stump and oral side of the stoma were sutured together. By this suture, intervention of other organs can be prevented between the both colon. After magnetic compression anastomosis was completed at the same site, reversal of Hartmann’s procedure was performed. Anastomosis was not required during the surgery; we were only required to excise the oral side of the stoma. As the operation becomes simpler, it is thought that it can be performed more safely and reliably. Hartmann’s reversal using magnetic compression anastomosis is beneficial for decreasing the permanent stoma rate.