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[In Process Citation]

Kriwanek1, Gschwantler, Beckerhinn

  • 1Chirurgische Abteilung, Krankenanstalt Rudolfstiftung Wien.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|March 9, 1999
PubMed
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Hartmann's operation for colon perforation with peritonitis shows good long-term results. Most patients achieve good quality of life, with 80% successfully undergoing intestinal restoration with low complications.

Area of Science:

  • Colorectal surgery
  • Surgical outcomes
  • Peritonitis management

Background:

  • Hartmann's operation is a standard treatment for colon perforation with peritonitis.
  • Concerns exist regarding high morbidity, mortality, and low intestinal restoration rates.
  • This study evaluates the long-term outcomes of Hartmann's operation.

Purpose of the Study:

  • To assess the long-term efficacy and patient-reported outcomes of Hartmann's operation.
  • To determine if late results justify criticisms of the procedure.
  • To compare outcomes between patients with and without restored intestinal continuity.

Main Methods:

  • Retrospective analysis of 103 patients undergoing Hartmann's operation for colonic perforations (1982-1997).
  • Data collection on postoperative mortality, intestinal restoration rates, complications, and long-term quality of life.

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  • Follow-up assessment of general health, abdominal complaints, and quality of life.

    • Main Results:

    • 16.5% postoperative mortality; 80% achieved successful intestinal restoration with 6% complication rate and no mortality.
    • Median follow-up of 75 months for 72 patients.
    • 86% reported good or very good quality of life, irrespective of intestinal continuity restoration; 7% developed anastomotic strictures.

    Conclusions:

    • Long-term outcomes of Hartmann's operation are favorable.
    • High rates of successful intestinal restoration and good quality of life are achievable.
    • The procedure's long-term benefits support its continued use despite past criticisms.