Affiliation:
1. Ryzhikh National Medical Research Center of Coloproctology
Abstract
Reversal after Hartmann’s procedures is technically challenging and followed by high morbidity rate.One the main risk factors of complications is need to dissect peritoneal adhesions for optimal access to large bowel, which leads to bowel deserosing, intestine lumen opening and late perforation. Meanwhile, the question remains unresolved: is there a need for total adhesiolysis during operations for end colostomy takedown, or is it more appropriate to minimize its volume? Recent literature data are presented by narrative reviews, single observational and experimental studies. Options for decision making are based on experts’ opinion. There is a strong need to test hypotheses by prospective randomized study.
Publisher
Russian Association of Coloproctology
Subject
Gastroenterology,Oncology,Surgery
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