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Related Experiment Videos

Hartmann procedure revisited.

K Khosraviani1, W J Campbell, T G Parks

  • 1Coloproctology Unit, Royal Victoria Hospital, Belfast, Northern Ireland.

The European Journal of Surgery = Acta Chirurgica
|November 30, 2000
PubMed
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Hartmann's procedure for left-sided colonic disease has acceptable outcomes, with a 10% mortality rate. Restoration of bowel continuity is feasible in most surviving patients, offering a safe surgical option.

Area of Science:

  • Colorectal surgery
  • Surgical outcomes
  • Gastrointestinal disease

Background:

  • Hartmann's procedure is a common surgical intervention for left-sided colonic disease.
  • Restoration of bowel continuity after Hartmann's procedure is a significant consideration for patient management.

Purpose of the Study:

  • To evaluate the complications and outcomes of Hartmann's procedure.
  • To assess the success rate of secondary restoration of continuity following the procedure for left-sided colonic disease.

Main Methods:

  • Retrospective study of 72 patients undergoing Hartmann's procedure between 1985 and 1998.
  • Analysis of emergency versus elective procedures, indications, mortality, morbidity, and stoma reversal rates.

Main Results:

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  • Overall postoperative mortality was 10% (7/72), with similar rates for emergency and elective cases.
  • Complications occurred in 43% of patients, including 11% with wound infections.
  • 70% (30/43) of suitable patients had successful restoration of bowel continuity with no postoperative deaths or anastomotic dehiscence.

Conclusions:

  • Hartmann's procedure is a safe and effective option for left-sided colonic emergencies.
  • Secondary restoration of continuity is achievable and safe in selected patients.