#june2020amc1
You assess a patient preoperatively who has been diagnosed with carcinoma of the colon and is to undergo a Hartmann's procedure. Which one of the following do you advise the patient?
A. The left side of the colon will be removed and a permanent colostomy will be fashioned.
B. The left side of the colon will be removed and if possible a direct anastamosiss will be made without loop colostomy.
C. The left side of the colon will be removed and if possible a loop colostomy will be fashioned to temporarily protect the anastomosis.
D. The right side of the colon together with the caecum will be removed and a direct anastomosis will be made.
E. The right side of the colon together with the caecum will be removed and a temporary ileostomy will be formed
Explanatory Notes:
Hartmann's procedure involves excision of the distal colon and/or rectum, for very low colonic/rectal disease. Patients with a Hartmann's procedure are advised that they may have a permanent colostomy. The colostomy may be eligible for re-anastamosis to the rectum at a later date, although this may not be possible.
You assess a patient preoperatively who has been diagnosed with carcinoma of the colon and is to undergo a Hartmann's procedure. Which one of the following do you advise the patient?
A. The left side of the colon will be removed and a permanent colostomy will be fashioned.
B. The left side of the colon will be removed and if possible a direct anastamosiss will be made without loop colostomy.
C. The left side of the colon will be removed and if possible a loop colostomy will be fashioned to temporarily protect the anastomosis.
D. The right side of the colon together with the caecum will be removed and a direct anastomosis will be made.
E. The right side of the colon together with the caecum will be removed and a temporary ileostomy will be formed
Explanatory Notes:
Hartmann's procedure involves excision of the distal colon and/or rectum, for very low colonic/rectal disease. Patients with a Hartmann's procedure are advised that they may have a permanent colostomy. The colostomy may be eligible for re-anastamosis to the rectum at a later date, although this may not be possible.
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