Advances in laparoscopy for acute care surgery and trauma

Figure 4 Laparoscopic Hartmann’s procedure for perforated Hinchey III diverticulitis in a 39 years old female: End colostomy and drains. On the right iliac fossa a large 12 mm port was used for introducing the endostapler and for distal colonic resection. On the left flank, a fourth port was inserted for the assistant surgeon. The sigmoid was then extracted from the left flank by enlarging the port to a 4 cm incision. The end colostomy was then fashioned on the left flank using the same incision. Provided by personal courtesy of Dr. S. Di Saverio, MD, FACS, FRCS.