Reconstructing Colonic Continuity After the Hartmann Operation

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Abstract
A series of 25 cases [in patients] involving reconstruction of bowel continuity after the Hartmann operation for perforated diverticulitis is presented. The term colostomy closure was judiciously avoided because in no way are these procedures comparable. Careful timing and restraint are encouraged to allow adequate recovery from the initial disease process and resultant surgery. Some technical aids are mentioned which may assist in limiting morbidity and mortality.

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