Laparoscopic and Robotic Hartmann’s Reversal: Strategies to Avoid Complications

Patients with complicated diverticulitis treated with emergent sigmoid colectomy and end-colostomy creation often never have the colostomy reversed. Patients undergoing reversal of the colostomy often have this performed in open fashion. In selected patients otherwise suitable for minimally invasive surgery, laparoscopic or robotic-assisted Hartmann’s reversal can be considered. Minimally invasive Hartmann’s reversal can be a challenging procedure. Particular attention to preoperative planning can help carefully select appropriate patients, maximize chances of success, and minimize intraoperative complications.