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[Reconversion after Hartmann's procedure. Our experience].

M Benedetti1, R Marchesi, A Zanardi

  • 1Istituto di Chirurgia Generale e dei Trapianti d'Organo Patologia Chirurgica II, IRCCS Policlinico S. Matteo, Università degli Studi di Pavia.

Annali Italiani Di Chirurgia
|May 9, 2002
PubMed
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Intestinal reconversion after Hartmann procedures is increasingly common, even in elderly patients and those with cancer. This study found zero mortality and low complications, indicating safety and efficacy for improved quality of life.

Area of Science:

  • Colorectal surgery
  • Surgical oncology
  • Gastroenterology

Context:

  • The Hartmann procedure is a surgical intervention for various colorectal conditions, often necessitating a subsequent reversal (reconversion).
  • Improved surgical techniques and increased patient lifespan have led to a rise in Hartmann reversals.
  • Evaluating the safety and outcomes of intestinal reconversion is crucial for patient management.

Purpose:

  • To analyze the outcomes of 33 intestinal reconversion procedures following Hartmann's procedure.
  • To assess variables such as patient age, underlying pathology, oncologic status, and interval between surgeries.
  • To describe indications for reconversion, particularly in patients with colorectal neoplasia.

Summary:

  • The study reviewed 33 cases of intestinal reconversion out of 100 Hartmann procedures performed between 1984 and 1996.

Related Experiment Videos

  • Patient age, disease type (neoplastic vs. non-neoplastic), preoperative assessments, and post-reconversion morbidity/mortality were evaluated.
  • Low preoperative complication rates, zero mortality, and favorable long-term follow-up (one relapse) were observed.
  • Impact:

    • Colon-rectal reconversion after Hartmann's procedure is a safe and effective option, even for elderly patients and those with favorable-prognosis neoplasias.
    • The findings support the feasibility of reversal surgery to improve quality of life in selected patient groups.
    • This study contributes to the understanding of outcomes for a growing number of patients undergoing Hartmann reversal.