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Updated: Jul 23, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Hartmann procedure revisited
K Khosraviani1, W J Campbell, T G Parks
1Coloproctology Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
Objective:
To assess the complications and results of Hartmann's procedure and secondary restoration of continuity for left-sided colonic disease.
Design:
Retrospective study.
Setting:
University hospitals, Northern Ireland.
Subjects:
72 Patients who required a Hartmann's procedure over a 13 year period (1985-1998).
Intervention:
Of these 45 (63%) were done as emergencies and 27 (38%) as elective procedures. The indications for an emergency procedure were obstruction and perforation.
Main Outcome Measures:
Mortality, morbidity, reversal of stoma rate.
Results:
The overall postoperative mortality was 7/72 (10%), with no significant difference between the emergency (4/45, 9%) and the elective (3/27, 11%) groups. Postoperative complications occurred in 31 patients (43%), and 8 developed wound infections (11%). Of the 43 surviving patients who where deemed suitable for re-establishment of continuity, 30 (70%) have had it done. There were no postoperative deaths or anastomotic dehiscences after the restoration of continuity.
Conclusion:
Hartmann's procedure remains a safe and suitable option in patients with left sided colonic emergencies.
