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A proctosigmoidectomy, Hartmann's operation or Hartmann's procedure is the surgical resection of the rectosigmoid colon with closure of the anorectal stump and formation of an end colostomy. It was used to treat colon cancer or inflammation (proctosigmoiditis, proctitis, diverticulitis , volvulus , etc.).
Distal or sigmoid, fecalomas can often be disimpacted digitally or by a catheter which carries a flow of disimpaction fluid (water or other solvent or lubricant). Surgical intervention in the form of sigmoid colectomy [ 12 ] or proctocolectomy and ileostomy [ 13 ] may be required only when all conservative measures of evacuation fail.
Colectomy as treatment for colorectal cancer also includes lymphadenectomy, or removal of surrounding lymph nodes, which may be done for staging of the cancer or removal of cancerous nodes. [11] More extensive lymphadenectomy is sometimes accomplished by the removal of the mesocolon , the fatty tissue adjacent to the colon, which contains blood ...
The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM.
Sigmoidocele (also known as pouch of Douglas descent) is a medical condition in which a herniation of peritoneum containing loops of redundant sigmoid colon descends (prolapses) into the rectouterine pouch (in females), between the rectum and the vagina. [1] [2] This can obstruct the rectum and cause obstructed defecation syndrome. [3]
Bleeding and puncture of the colon are possible complications of sigmoidoscopy. However, such complications are uncommon. Flexible sigmoidoscopy takes 10 to 20 minutes. During the procedure, the patient might feel pressure and slight cramping in the lower abdomen, but the patient will feel better afterward when the air leaves the colon.
The predecessor of this procedure was sutured posterior rectopexy, in which the rectum was completely mobilized from the pelvic floor (i.e. including posterior and lateral surgical dissection of the rectum and sigmoid colon). [61] This caused autonomic nerve damage resulting in constipation and obstructed defecation after the surgery. [61]
Like with any major surgery, a variety of complications may occur during and after an exploratory laparotomy. These include minor problems, such as superficial skin infection or delayed bowel motility , and major problems, such as bleeding, blood clots in the legs or in the lungs , stroke , deep intraabdominal infection which can lead to sepsis ...