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Laparoscopic Hartmann reversal: experiences from a developing country
Dung Anh Nguyen1, Tuong-Anh Mai-Phan1, Truc Thanh Thai2
1Department of General Surgery, Nhan dan Gia Dinh Hospital, Ho Chi Minh, Viet Nam.
Purpose:
Laparoscopic surgery is considered a promising approach for Hartmann reversal but is also a complicated major surgical procedure. We conducted a retrospective analysis at a city hospital in Vietnam to evaluate the treatment technique and outcomes of laparoscopic Hartmann reversal (LHR).
Methods:
A colorectal surgery database in 5 years between 2015 and 2019 (1,175 cases in total) was retrieved to collect 35 consecutive patients undergoing LHR.
Results:
The patients had a median age of 61 years old. The median operative time was 185 minutes. All the procedures were first attempted laparoscopically with a conversion rate of 20.0% (7 of 35 cases). There was no intraoperative complication. Postoperative mortality and morbidity were 0 and 11.4% (2 medical, 1 deep surgical site infection, and 1 anastomotic leak required reoperation) respectively. The median time to first bowel activity was 2.8 days and median length of hospital stay was 8 days.
Conclusion:
When performed by skilled surgeons, LHR is a feasible and safe operation with acceptable morbidity rate.
