Can a sigmoid resection with Hartman's pouch be reversed

[gladtobeOB]

Just a quick question, have a 17 yr old female with hx of volvulus when she was an infant, presented with severe abdominal pain. This am she had a sigmoid colon resection with colostomy and Hartman's pouch. Is this procedure reversible? I am guessing not but I may be wrong. (I surely hope I am wrong for her sake) What is your experiences?

[suzanne4, RN]

How are they going to reverse it if the colon is gone?

Hartman's are internal pouches once they are completed. Compared to the old fashioned colostomy these are a godsend for many people.

Are you familiar with the differences between a Hartman pouch and a regular colostomy?

If not, let me know and I will post some information for you.

[lsyorke, RN]

Sounds like a Hartmans Procedure! Why would they do a hartmans pouch and a colostomy?? If they did a sigmoid colon resection with colostomy, yes it can be reversed!!

[gladtobeOB]

Thanks for the reply suzanne. Will look tomorrow for the correct surgery so as to be more helpful and I will talk to DR if I see him. No, I am not familiar with the differences in regular colostomy and a Hartman's pouch. Please elaborate!

[suzanne4, RN]

Sounds like a Hartmans Procedure! Why would they do a hartmans pouch and a colostomy?? If they did a sigmoid colon resection with colostomy, yes it can be reversed!!

That is why I answered the way that I did. Sure a colostomy can be reversed, but if they usually do a Hartman, it usually means that they are not planning on a reversal.

[suzanne4, RN]

Thanks for the reply suzanne. Will look tomorrow for the correct surgery so as to be more helpful and I will talk to DR if I see him. No, I am not familiar with the differences in regular colostomy and a Hartman's pouch. Please elaborate!

If you send me your e-mail address, I will forward a set of the teaching materials that I use for my students.

The Hartman is usually a 3 stage procedure, so if they were consideredin g a reversal, I don't think that they would put anyone through this.

[caroladybelle, BSN, RN]

As an IBD patient, I try to keep up.

I don't know about reversing with a Hartman's pouch.

I am aware of a J Pouch procedure, that is done following a full colectomy. In some IBD long termers, the risk of colon ca becomes very high. The entire colon is removed, and the Ilieum (sp?)is cut and patched together to form a new "Colon". The patient may have a temporary colostomy while the Ilieum? ("new colon") heals, then after healing, there is reanastomosis. The patient has more BMs but does usually have continence and no ostomy.