Related Experiment Video
Updated: Jul 4, 2026
11:38
Voluntary Breath-hold Technique for Reducing Heart Dose in Left Breast Radiotherapy
Published on: July 3, 2014
Use of Hartmann's procedure in England.
G G David1, A A Al-Sarira, S Willmott
1Leighton Research Unit, Department of General Surgery, Mid Cheshire Hospitals NHS Trust, Leighton Hospital, Crewe, UK.
Summary
Most Hartmann's procedures are emergency surgeries for benign conditions, with less than a quarter reversed. This large cohort study highlights low reversal rates for Hartmann's procedure, impacting patient outcomes.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes Research
- Gastrointestinal Disease Management
Background:
- Hartmann's procedure is a common surgical intervention for complicated diverticular disease and colorectal cancer.
- Limited national data exist regarding the indications for Hartmann's procedure and its reversal rate.
Purpose of the Study:
- To analyze national data on the reasons for performing Hartmann's procedure.
- To determine the reversal rate of Hartmann's procedure in a large patient cohort.
Main Methods:
- Utilized Hospital Episode Statistics data from The Department of Health.
- Analyzed a cohort of patients undergoing Hartmann's procedure between April 2001 and March 2002.
- Tracked patients for Hartmann's reversal until April 2006.
Main Results:
- 3950 Hartmann's procedures were performed (2853 emergency, 1097 elective).
- Emergency procedures were mainly for benign disease (72.5%), while elective were for cancer (68.9%).
- Only 23.3% of patients underwent reversal, with a median time of 284.5 days.
Conclusions:
- This study represents the largest cohort examining outcomes after Hartmann's procedure.
- The majority of Hartmann's procedures are performed emergently for benign conditions.
- Most Hartmann's procedures are not reversed, indicating a significant impact on long-term patient management.
Related Concept Videos
01:21Cardiac Catheterization II: Right Heart Catheterization
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
01:28Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...