Open Sigmoid Colectomy & Hartmann's Operation Step by Step

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07/19/23

This video demonstrates how an Open Sigmoidectomy with Hartmann's operation was done for a large bowel obstruction due to Cancer Sigmoid colon. The surgery was done by Dr.T.K.Swamy,M.S.,M.Ch ( Gastro ) at Valli Hospital,Erode, Tamil Nadu, India on 23/01/2020.
Dr.T.K.Swamy is a senior Surgical Gastroenterologist & Specialist having 25 years of experience in this field and Laparoscopic surgery. He explains the technical aspects of the surgery which will be useful to medical students and young surgeons.

This patient was operated on 23/01/2020 and discharged on 30/01/2020 fully recovered eating semisolid diet. Many of the colon cancers are curable if they are diagnosed early. When there is blood in the stools it is not piles always. That could be due to some other pathology like cancer colon. So it is mandatory to consult a surgeon on seeing the first bloody stools and undergo a test called colonoscopy. This test will tell you whether the bleeding is due to piles or other causes and the treatment can be done accordingly. One should not be reluctant in consulting if the bleeding stops in a day or two because even in cancer the bleeding stops in a day or two to start with. So consult your physician on the first day of seeing bloody stools.

Who am I

I am Dr.T.K.Swamy, Surgical Gastroenterologist and Senior consultant in the Dept of Gastroenterology, Valli Hospital, 20 E.V.N.Road, Erode, Tamil Nadu, India. I completed my M.S(General Surgery) at Coimbatore Medical College in 1989 and M.Ch ( Gastro ) in 1995 from Madras Medical College. Doing and teaching Gastrointestinal Surgeries and Laparoscopic surgeries at Valli Hospital, Erode.

Get in touch

If you have any doubt you can tweet me @drtkswamy. If you have long questions feel free to email me at drtkswamy@gmail.com or vallihospital@gmail.com I try my best to reply you.
Thanks

TIME STAMPS
02:01 – Opening abdomen
04:25 – Adhesiolysis
08:26 – Medial to lateral dissection
11:58 – Vascular pedicle dissection
21:18 – Stapler division of rectum
26:32 – Rectal stump anchoring
28:34 – Proximal bowel division
31:01 – Colostomy fashioning
39:44 – Bowel decompression without contamination
41:10 – Tube drain Insertion and anchoring
43:46 – Abdominal wound closure
51:50 – Maturing the colostomy
56:58 – Fixing colostomy bag
01:01:52 – Fixing tube drain
01:03:19 – Post op specimen