Surgery for Colonic Diverticulitis and Other Benign Conditions of the Left Colon (Hartmann’s Procedure)



When left colon resection is required for diverticulitis or other benign process such as refractory lower gastrointestinal bleeding originating in the left colon, a less extensive mesenteric dissection is required. The conditions present for emergency left colon resection often preclude primary anastomosis, and in those cases, a Hartmann’s resection is indicated. This chapter describes those procedures.


Left Colon Lower Gastrointestinal Bleeding Mucous Fistula Colovesical Fistula Distal Sigmoid 
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Further Reading

  1. Bergamaschi R, Arnaud JP. Intracorporeal colorectal anastomosis following laparoscopic left colon resection. Surg Endosc. 1997;11:800.PubMedCrossRefGoogle Scholar
  2. Bouillot JL, Aouad K, Badawy A, Alamowitch B, Alexandre JH. Elective laparoscopic-assisted colectomy for diverticular disease: a prospective study in 50 patients. Surg Endosc. 1998;12:1393.PubMedCrossRefGoogle Scholar
  3. Smadja C, Sbai Idrissi M, Tahrat M, et al. Elective laparoscopic sigmoid colectomy for diverticulitis: results of a prospective study. Surg Endosc. 1999;13:645.PubMedCrossRefGoogle Scholar
  4. Thorson AG, Goldberg SM. Chapter 18: Benign colon: diverticular disease. In: Wolf BG, Fleshman JW, Beck DE, Pemberton JH, Wexner SD, editors. The ASCRS textbook of colon and rectal surgery. New York: Springer; 2007. p. 269–85.CrossRefGoogle Scholar
  5. Wexner SD, Moscovitz ID. Laparoscopic colectomy in diverticular and Crohn’s disease. Surg Clin North Am. 2000;80:1299.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

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