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The Hartmann's procedure with a proximal end colostomy or ileostomy is the most common operation carried out by general surgeons for management of malignant obstruction of the distal colon. During this procedure, the lesion is removed, the distal bowel closed intraperitoneally, and the proximal bowel diverted with a stoma .
The most common of these procedures are removal of all or part of the colon , or removal of the kidney (nephrectomy). Some surgeons perform these procedures completely laparoscopically, making the larger incision toward the end of the procedure for specimen removal, or, in the case of a colectomy, to also prepare the remaining healthy bowel to ...
Colectomy (col-+ -ectomy) is the surgical removal of any extent of the colon, the longest portion of the large bowel.Colectomy may be performed for prophylactic, curative, or palliative reasons.
Colorectal surgery is a field in medicine dealing with disorders of the rectum, anus, and colon. [1] The field is also known as proctology , but this term is now used infrequently within medicine and is most often employed to identify practices relating to the anus and rectum in particular.
Colonic polypectomy has become a routine part of colonoscopy, allowing quick and simple removal of polyps during the procedure, without invasive surgery. [18] With regard to blood in the stool either visible or occult, it is worthy of note, that occasional rectal bleeding may have multiple non-serious potential causes. [19]
The colon is then mobilized from the retroperitoneum. Care is taken to avoid injury to the ureters and duodenum. The surgery then follows the same steps as small bowel resection. However, due to the colon's placement in the retroperitoneum, more dissection is often required to allow for tension free anastomosis. [5] [6]
The other portion of the bowel is either removed or sewn shut (Hartmann's procedure). Double barrel colostomy: The bowel is severed and both ends are brought out onto the abdomen. Only the proximal stoma is functioning. Most often, double-barrel colostomy is a temporary colostomy with two openings into the colon (distal and proximal).
4. Colectomy: The removal of the colon (large intestine) whole or in part. This procedure is typically done to address problems including colorectal cancer, diverticular disease, or inflammatory bowel disease. 5. Resection of the liver in part: This procedure is frequently carried out to treat liver tumors or to remove damaged liver tissue. 6.