Hartmann's Rectal Surgery

Hartmann's rectal surgery is aimed at patients with rectal cancer whose physical can not tolerate radical surgery. The upper segment is pulled out of the external stoma, the middle segment (where the tumor is located) is removed, and the lower segment (below the tumor to the anus) is closed. When dealing with distal sigmoid cancer, rectal and sigmoid junction cancer, and high rectal cancer, intraperitoneal surgery can also be performed according to Hartmann's method. Treatment of diseases: colorectal cancer Indication It is suitable for patients with rectal cancer who are generally in poor general condition and cannot tolerate Miles surgery or Dixon surgery due to acute obstruction. Contraindications 1, with systemic diseases, can not tolerate surgery. 2, local infection, not suitable for surgery. Preoperative preparation Antibiotics are routinely used before surgery. Surgical procedure Bladder lithotomy, thigh abduction, ankle height. Routinely disinfect the drape and place the catheter. From the umbilicus 2cm to the pubic symphysis in the left lower abdomen. Open the anterior sheath of the rectus abdominis and pull the rectus abdominis outward. The cone-shaped muscle at the lower end of the incision is cut straight to the pubic bone. The extraperitoneal fat and the top of the bladder are pushed open, and the peritoneum is cut into the abdominal cavity. The specimen was removed and sent to the pathology. complication Incision infection: timely use of effective antibiotics, a small amount of hormones and hemostatic drugs, intravenous medication for 7 days, to prevent wound infection.