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Primary resection for diverticulitis of the colon, also used in acute large bowel obstructions. The affected segment (shaded) has been divided at its distal.

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Presentation on theme: "Primary resection for diverticulitis of the colon, also used in acute large bowel obstructions. The affected segment (shaded) has been divided at its distal."— Presentation transcript:

1 Primary resection for diverticulitis of the colon, also used in acute large bowel obstructions. The affected segment (shaded) has been divided at its distal end. If primary anastomosis is to be done, the proximal margin (dotted line) is transected, and the bowel is anastomosed end to end. If a two-stage procedure will be used, a colostomy is formed at the proximal margin, and the distal stump is oversewn (Hartmann procedure, as shown) or exteriorized as a mucous fistula. The second stage consists of colostomy takedown and anastomosis. Source: Large Intestine, CURRENT Diagnosis & Treatment: Surgery, 14e Citation: Doherty GM. CURRENT Diagnosis & Treatment: Surgery, 14e; 2015 Available at: Accessed: November 09, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved

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