الفهرس 
Sigmoid ColonOnly 14 pages are availabe for public view
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Abstract
aparoscopic Hartmann’s reversal is highly demanding technique and needs an experienced surgeon with techniques of laparoscopic dissection and adhesiolysis. It is safe and feasible, with more favorable surgical outcomes, compared with open surgery. The total complication rate of the laparoscopic reversal was comparable to the literature with less wound infection, less incisional hernia, shorter hospital stay, less post-operative pain , faster return of bowel habit than the open approach and lastly the conversion rate is acceptable. However, Laparoscopic reversal of Hartmann’s procedure is a costly operation. In this era of minimal-access surgery and with increasing attention to fast-track protocols, we believe the laparoscopic approach should be the standard technique for patients undergoing reversal of Hartmann’s procedure. However, Laparoscopic reversal of Hartmann’s procedure needs a surgical learning curve. Studies with a larger number of cases are needed to answer some questions like whether patient selection is needed according to the indication of the Hartmann’s procedure and to assess the benefit of the primary anastomosis with diverting Ileostomy (PADI) in comparison with Hartmann’s procedure.