Open Sigmoidectomy with End Colostomy (Hartmann's)
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Open Sigmoidectomy with End Colostomy (Hartmann's)

The Open Sigmoidectomy with End Colostomy (Hartmann’s) course will teach you:

  • To resect the sigmoid colon without the formation of an anastomosis. An end colostomy is created.

Special attention is paid to the following hazards you may encounter during the Open Sigmoidectomy with End Colostomy (Hartmann’s):

  • Entering the retroperitoneal plane
  • Damage of hypogastric vessels and nerves close to promontory
  • Undermining of the skin during enterostomy creation
  • Width of the enterostomy aperture

With the following tips you might perform the Open Sigmoidectomy with End Colostomy (Hartmann’s) even better:

  • Marking of the enterostomy site
  • Usage of a gauze to position the small intestines cephalad
  • Prevention of compression of the vena cava by retractor placement
  • Transection of omental adhesions to the abdominal wall
  • Ureter identification
  • Preserving the left colic artery and superior rectal artery
  • Limited mesenteric dissection
  • Facilitation of clamp placement in the pelvis
  • Knotting in the pelvis
  • Inverting the corners of the stump using a purse string suture
  • Lifting of the peritoneum through the enterostomy aperture

After studying the Open Sigmoidectomy with End Colostomy (Hartmann’s) course you are familiar with the most common complications:

  • Ureteral injury
  • Postoperative ileus
  • Ischemia of the stoma
  • Retraction of the stoma
  • Prolapse of the stoma
  • Stenosis of the stoma
  • Parastomal herniation

You might also be interested in:

Bowel Anastomosis – End-to-End Handsewn

Step by step

Abdominal cavity approach

Skin

Mark

Mark the skin in the midline starting at the umbilicus and extending to the pubic bone.

Ostomy site marking

Mark the ostomy site pre-operatively while the patient is awake, to ensure optimal placement.

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Do you want to learn the preoperative of "Open Sigmoidectomy with End Colostomy (Hartmann's)"?

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Unlimited access to all 308 courses.

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Do you want to learn the postoperative of "Open Sigmoidectomy with End Colostomy (Hartmann's)"?

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Unlimited access to all 308 courses.

20 per month Get started

Do you want to take the test of "Open Sigmoidectomy with End Colostomy (Hartmann's)"?

Try one of our offerings

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Unlimited access to all 308 courses.

20 per month Get started