{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T20:20:52Z","timestamp":1785442852773,"version":"3.56.0"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Reversing Hartmann\u2019s procedure is complicated owing to dense adhesions resulting from inflammation in the pelvic region. These adhesions pose challenges in identifying the rectum and increase the risk of pelvic organ injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We propose a technique to lift and fix the rectal stump to the abdominal wall to diminish adhesions to the rectum and facilitate identification of the rectal stump.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The patient underwent Hartmann\u2019s procedure for generalized peritonitis resulting from perforation of the sigmoid colon. The abdominal cavity was significantly contaminated with fecal ascites, and postoperative pelvic adhesions were anticipated. Therefore, the rectal stump was lifted. The outcomes demonstrated that despite the presence of dense adhesions in the abdominal cavity, the rectal segment was promptly identified during the reversal of Hartmann\u2019s procedure. The procedure proceeded smoothly and was deemed satisfactory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The technique of lifting and fixing the rectal stump to the abdominal wall is useful in cases where dense pelvic adhesions are anticipated during the subsequent reversal of Hartmann\u2019s procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10151-025-03128-0","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T23:55:57Z","timestamp":1742946957000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A proactive technique for reversal of Hartmann\u2019s procedure: lifting the rectal stump to the abdominal wall"],"prefix":"10.1007","volume":"29","author":[{"given":"A.","family":"Fukada","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8627-2401","authenticated-orcid":false,"given":"T.","family":"Ogino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Fujimoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Sekido","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Takeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Hata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Hamabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Miyoshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Uemura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Mizushima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Eguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Doki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"3128_CR1","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1186\/1471-2482-10-29","volume":"10","author":"HA Swank","year":"2010","unstructured":"Swank HA, Vermeulen J, Lange JF et\u00a0al. (2010) The ladies trial: laparoscopic peritoneal lavage or resection for purulent peritonitis and Hartmann\u2019s procedure or resection with primary anastomosis for purulent or faecal peritonitis in perforated diverticulitis (NTR2037). BMC Surg 10:29. https:\/\/doi.org\/10.1186\/1471-2482-10-29","journal-title":"BMC Surg"},{"key":"3128_CR2","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1097\/SLA.0000000000001061","volume":"263","author":"E Angenete","year":"2016","unstructured":"Angenete E, Thornell A, Burcharth J et\u00a0al. (2016) Laparoscopic lavage is feasible and safe for the treatment of perforated diverticulitis with purulent peritonitis the first results from the randomized controlled trial DILALA. Ann Surg 263:117\u2013122. https:\/\/doi.org\/10.1097\/SLA.0000000000001061","journal-title":"Ann Surg"},{"key":"3128_CR3","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1097\/SLA.0b013e31827324ba","volume":"256","author":"CE Oberkofler","year":"2012","unstructured":"Oberkofler CE, Rickenbacher A, Raptis DA et\u00a0al. (2012) A multicenter randomized clinical trial of primary anastomosis or Hartmann\u2019s procedure for perforated left colonic diverticulitis with purulent or fecal peritonitis. Ann Surg 256:819\u2013826. https:\/\/doi.org\/10.1097\/SLA.0b013e31827324ba","journal-title":"Ann Surg"},{"key":"3128_CR4","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1002\/ags3.12304","volume":"4","author":"T Ogino","year":"2020","unstructured":"Ogino T, Mizushima T, Matsuda C, Mori M, Doki Y (2020) Essential updates 2018\/2019: colorectal (benign) recent updates (2018\u20132019) in the surgical treatment of benign colorectal diseases. 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Gastroenterol Rep (Oxf) 1:149\u2013152. https:\/\/doi.org\/10.1093\/gastro\/got018","journal-title":"Gastroenterol Rep (Oxf)"},{"key":"3128_CR7","doi-asserted-by":"publisher","first-page":"1603","DOI":"10.1007\/s00384-015-2325-4","volume":"30","author":"V Celentano","year":"2015","unstructured":"Celentano V, Giglio MC, Bucci L (2015) Laparoscopic versus open Hartmann\u2019s reversal: a systematic review and meta-analysis. Int J Colorectal Dis 30:1603\u20131615. https:\/\/doi.org\/10.1007\/s00384-015-2325-4","journal-title":"Int J Colorectal Dis"},{"key":"3128_CR8","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1007\/s13304-016-0363-2","volume":"68","author":"A Lucchetta","year":"2016","unstructured":"Lucchetta A, De Manzini N (2016) Laparoscopic reversal of Hartmann procedure: is it safe and feasible? 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