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Laparoscopic reversal of Hartmann's procedure

3-minute read

This page will give you information about laparoscopic reversal of Hartmann's procedure. If you have any questions, you should ask your GP or other relevant health professional.

You can also download and print a PDF version of this factsheet, with space for your own questions or notes.

What is Hartmann’s procedure?

Hartmann’s procedure involves removing a piece of large bowel (colon). It is usually performed as an emergency. The two ends of bowel were not joined together because your surgeon decided the risks were too high. Your surgeon made a colostomy (your large bowel opening onto your skin). The other end was closed as a rectal stump. Your surgeon has decided it is safe to join the two ends of your bowel back together.

What are the benefits of surgery?

Illustration showing laparoscopic reversal of Hartmann's procedure
Laparoscopic reversal of Hartmann's procedure.

You should be able to open your bowels in the normal way and you should no longer have a stoma bag.

What does the operation involve?

The operation is performed under a general anaesthetic and usually takes about 90 minutes to 2 hours.

Your surgeon will make several small cuts on your abdomen. They will insert surgical instruments, along with a telescope, inside your abdomen and perform the operation.

Your surgeon will join the 2 ends of your bowel back together and place your bowel inside your abdominal cavity.

What complications can happen?

General complications

  • pain
  • bleeding
  • infection of the surgical site (wound)
  • chest infection
  • unsightly scarring
  • developing a hernia in the scar
  • blood clots

Specific complications

  • damage to internal structures
  • developing a hernia near one of the cuts
  • surgical emphysema
  • anastomotic leak
  • continued bowel paralysis
  • diarrhoea
  • death

How soon will I recover?

It is usual for your bowel to stop working for a few days.

You should be able to go home after 3 to 11 days. It can take up to 3 months to return to normal activities.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

Most people make a good recovery.

Summary

Reversal of Hartmann’s procedure will allow you to open your bowels in the normal way. You will no longer need a stoma bag.

IMPORTANT INFORMATION
The operation and treatment information on this page is published under license by Healthdirect Australia from EIDO Healthcare Australia and is protected by copyright laws. Other than for your personal, non-commercial use, you may not copy, print out, download or otherwise reproduce any of the information. The information should not replace advice that your relevant health professional would give you.

For more on how this information was prepared, click here.

Last reviewed: September 2018

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