Elective
Diagram of an Abdomino-perineal excision of the rectum (and anal canal). Tumour marked by blue dot. Stoma marked by x.
Diagram of Hartmann's procedure. Disease is resected and proximal colon brought out as an end colostomy. Distal end is closed intra-abdominally.
- After APER (Abdomino-perineal resection of rectum) for:
- Low rectal cancer
- Advanced anal cancer
- As part of Hartmann's procedure
- Locally advanced rectal cancer
- Anastomosis deemed to be dangerous
