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Related Experiment Videos

Hartmann procedure: is it still relevant today?

Dee Wern Seah1, Salleh Ibrahim, Khoon Hean Tay

  • 1Department of General Surgery, Changi General Hospital, Singapore. seah.dee.wern@singhealth.com.sg

ANZ Journal of Surgery
|June 10, 2005
PubMed
Summary

The Hartmann procedure, though less common, remains a viable option for selected left-sided colonic pathologies. This study reviews its outcomes, including morbidity and mortality rates, and reversal success.

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Area of Science:

  • Colorectal surgery
  • Surgical procedures
  • Gastrointestinal surgery

Background:

  • Primary anastomosis is increasingly favored for left-sided colonic pathology.
  • The Hartmann procedure is still performed regularly in some centers.
  • A retrospective analysis of the Hartmann procedure's outcomes was conducted.

Purpose of the Study:

  • To evaluate the outcomes of the Hartmann procedure.
  • To assess the procedure's utility in selected patients.

Main Methods:

  • Retrospective analysis of patient records from January 1998 to December 2001.
  • Data collected included demographics, comorbidities, and indications for the procedure.
  • Outcomes such as operating time, reversal rate, mortality, and morbidity were analyzed.

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Main Results:

  • The study included 85 patients (52 male, 33 female) with a median age of 69.
  • Common indications included cancer (45) and complicated diverticulitis (19).
  • First-stage mortality was 16%, morbidity 51%; reversal morbidity was 29% with a 32% reversal rate.

Conclusions:

  • The Hartmann procedure remains a useful option for specific patient groups.
  • Despite advances in primary anastomosis, the procedure has a role in selected cases.