Treatment of carcinoma left colon with acute obstruction: (A) Harman's procedure, (B) Left colectomy with anastomosis, (C) Proximal colostomy, (D) Extended . colectomy with ileoanal anastomosis
Answer is A. .Obstruction due to rectosigmoid growth with patient being severely ill--Hamann's operation can be done to save the life of the patient wherein distal stump after removal of the growth is closed, proximal colon is brought out as end colostomy. ref:SRB&;s manual of surgery,ed 3,pg no 857