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Note the closed rectal stump (+ in c).
Cutaneous fistulas from the rectal stump after Hartmann procedure are not rare.
Appendectomy was performed, and the proximal colon and rectal stump were manually disimpacted with massive peritoneal lavage.
Ileal pouch rectal anastomosis (IPRA) is a possible alternative to permanent ileostomy when a short, normal-appearing rectal stump remains after total colectomy.
In HP, segmental resection of the sigmoid or descending colon is completed with creation of a temporary diverting end colostomy to avoid the risk of anastomotic dehiscence, and a blind-rending rectal stump is left in place (Fig. 1).
A sigmoidectomy (dashed white lines) is performed on an emergent basis with creation of a temporary diverting colostomy in left iliac fossa (white arrow) and closure of a blind-ending rectal stump (black arrow) Open image in new window Fig. 15 Hartmann procedure.
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After a partial colectomy or sigmoidectomy, it involves the creation of a temporary diverting colostomy and a blind-ending rectal or colonic stump closed by suture (Hartmann's pouch).
With the colon out of the way, the rectum stump can be retracted with a Satinsky clamp and cross stapled 1-cm to 2-cm proximal to the dentate line by using an open TL 30 stapler (Proximate® TL30, Ethicon Endo-Surgery) to ensure a transverse low rectal cross-stapling.
The tumor was located around the bladder, vaginal stump, and the prior rectal anastomosis, but no invasion of the bladder was observed.
In addition the terms IMA, SRA, or LCA were used in combination with colorectal cancer, rectal cancer, lymph node, circulation, flow, stump pressure, function, autonomous, nerve, and tension.
A 59-year-old woman had recurrence of serous ovarian adenocarcinoma in the vaginal stump, near the site of anastomosis from a rectal resection 18 months previously.
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