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DAILY FREE MCQ CHALLENGE for Medical PG Preparation
Question
Hartmann’s procedure is done for:
A. Volvulus
B. Rectal carcinoma
C. Pancreatic carcinoma
D. Esophageal carcinoma
TIPSImportant Question from TNPGMEE 2002
See Answer Here
B. Rectal carcinoma
See Explanation Here
Hartmann’s procedure
- Hartmann’s procedure refers to a colon or rectal resection without an anastomosis in which a colostomy or ileostomy is created and the distal colon or rectum is left as a blind pouch.
- The term is typically used when the left or sigmoid colon is resected and the closed off rectum is left in the pelvis.
- If the distal colon is long enough to reach the abdominal wall, a mucus fistula can be created by opening the defunctioned bowel and suturing the open lumen to the skin.
References
Colon, Rectum, and Anus. In: Brunicardi F, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. eds. Schwartz’s Principles of Surgery, 10e. Reference link
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