Advertisement

Hartmann Takedown: Managing the Hard to Reach or Devascularized Left Colon

  • Christine Hsieh
  • Sang W. Lee
Chapter

Abstract

The success of Hartmann takedown depends on the creation of tension-free anastomosis and maintenance of adequate blood supply. Preoperative planning and meticulous surgical technique are critical in performing a Hartmann takedown.

Keywords

Hartmann takedown Retroileal pull-through Deloyers procedure 

Suggested Reading

  1. 1.
    Dunlavy P, Allan L, Raman S. Totally laparoscopic retroileal transverse colon to rectal anastomosis following extended left colectomy. Dis Colon Rectum. 2017;60(11):1224.CrossRefGoogle Scholar
  2. 2.
    Hunt SR, Silviera ML. Anastomotic construction. In: Steele SR, Hull TL, Read TE, Saclarides TJ, Senagore AJ, Whitlow CB, editors. The ASCRS textbook of colon and rectal surgery. 3rd ed. New York: Springer; 2016. p. 141–60.CrossRefGoogle Scholar
  3. 3.
    Manceau G, Karoui M, et al. Right colon to rectal anastomosis (Deloyers Procedure) as a salvage technique for low colorectal or coloanal anastomosis: postoperative and long-term outcomes. Dis Colon Rectum. 2012;55(3):363–8.CrossRefGoogle Scholar
  4. 4.
    Rombeau JL, Collins JP, Turnbull RB. Left-sided colectomy with retroileal colorectal anastomosis. Arch Surg. 1978;113(8):1004–5.CrossRefGoogle Scholar
  5. 5.
    Shariff US, Kullar N, Dorudi S. Right colonic transposition technique: when the left colon is unavailable for achieving a pelvic anastomosis. Dis Colon Rectum. 2011;54(3):360–2.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Christine Hsieh
    • 1
  • Sang W. Lee
    • 2
  1. 1.Keck School of Medicine – University of Southern CaliforniaLos AngelesUSA
  2. 2.Department of Surgery – Colon and Rectal SurgeryKeck School of Medicine of University of Southern CaliforniaLos AngelesUSA

Personalised recommendations