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Updated: Mar 25, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

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Current indications for the Hartmann procedure.

J Barbieux¹, F Plumereau¹, A Hamy¹

¹Service de chirurgie viscérale et endocrinienne, CHU d'Angers, 4, rue Larrey, 49100 Angers cedex 1, France.

Journal of Visceral Surgery

|February 13, 2016

Summary

This summary is machine-generated.

The Hartmann procedure, a colonic surgery for left-sided disease, involves sigmoïdectomy without anastomosis. It has high complication rates and low reversal rates, prompting a review of its value.

Keywords:

Hartmann procedure Peritonitis Restoration of intestinal continuity

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Area of Science:

Colorectal Surgery
Surgical Oncology
Gastroenterology

Background:

The Hartmann procedure is indicated for left-sided colonic disease, particularly emergencies where anastomosis is not feasible.
It involves sigmoïdectomy, creating a terminal stoma, and rectal stump closure, initially for colorectal cancer.
This approach is associated with significant mortality (15%) and morbidity (50%), with less than 50% successful reversal.

Purpose of the Study:

To evaluate the clinical utility and outcomes of the Hartmann procedure.
To assess the effectiveness of Hartmann procedure equivalents in colonic surgery.
To review indications including colorectal cancer, diverticular peritonitis, and trauma.

Main Methods:

Literature review of studies on the Hartmann procedure and its alternatives.
Analysis of outcomes based on indications such as colorectal cancer, diverticular disease, and trauma.
Evaluation of mortality, morbidity, and rates of subsequent stoma reversal.

Main Results:

The Hartmann procedure is linked to high rates of mortality and morbidity.
Subsequent restoration of intestinal continuity is achieved in less than half of the patients.
Indications span various left-sided colonic pathologies, including cancer, diverticulitis, and trauma.

Conclusions:

The Hartmann procedure presents significant risks and challenges regarding stoma reversal.
Its value and alternatives require careful consideration across diverse colonic surgical indications.
Further research may explore strategies to improve outcomes and increase reversal rates.