HARTMANN'S PROCEDURE
Indication: Emergency resection of sigmoid colon or upper rectum when primary anastomosis is unsafe — free perforation, faecal peritonitis, obstructing sigmoid carcinoma, or unstable patient. Creates a proximal end colostomy with the distal rectal stump oversewn for potential later reversal.
Patient Position: Supine or Lloyd-Davies.
Anaesthesia: General.