Related Experiment Video
Updated: Aug 22, 2025
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Hartmann's procedure versus primary anastomosis for Hinchey stage III diverticulitis: a prospective case-control
O Vergara-Fernandez1, M Morales-Cruz1, F Armillas-Canseco1
1Departamento de Cirugía de Colon y Recto, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Tlalpan, Mexico City, Mexico.
Introduction:
Hartmann's procedure (HP) is the conventional treatment in patients with complicated diverticulitis. Segmental resection with primary anastomosis (PA) is a treatment alternative for those patients. Our aim was to compare the postoperative results of HP and PA in patients with complicated diverticulitis (Hinchey stage III).
Methods:
A case-control study was conducted on patients operated on for purulent Hinchey stage III diverticulitis, within the time frame of 2000 and 2019.
Results:
Twenty-seven patients that underwent PA were compared with 27 that underwent HP. The patients that underwent HP had a greater probability of morbidity at 30 days (OR 3.5; 95% CI 1.13-11.25), as well as a greater probability of major complications (OR 10.9; 95% CI 1.26-95.05).
Conclusion:
The patients that underwent segmental resection and PA presented with lower morbidity rates and higher stoma reversal rates than the patients that underwent HP.
