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The Hartmann procedure for complications of diverticulitis
Archives of Surgery (Chicago, Ill. : 1960)
|April 1, 1979
Summary
The Hartmann procedure for acute diverticulitis complications offers advantages like disease removal and avoided anastomosis risks. This surgical approach in 25 patients showed a low mortality rate of 8%.
Area of Science:
- Gastroenterology
- Surgical Procedures
Background:
- Acute diverticulitis complications often necessitate surgical intervention.
- The Hartmann procedure is a two-stage surgical approach for managing complex diverticulitis.
Purpose of the Study:
- To evaluate the outcomes and advantages of the Hartmann procedure in patients with acute diverticulitis complications.
- To assess the feasibility and safety of this surgical technique.
Main Methods:
- A retrospective review of 25 patients who underwent a Hartmann procedure for acute diverticulitis complications.
- Analysis of hospitalization duration, complication rates, and mortality.
Main Results:
- Of 20 patients completing both stages, 14 experienced a smooth recovery.
- The average total hospitalization for both stages was 23 days.
- The overall mortality rate was 8%.
Conclusions:
- The Hartmann procedure facilitates initial bowel resection and avoids primary anastomosis risks.
- A minimum three-month interval between stages aids reanastomosis.
- The procedure offers reduced hospitalization time and relatively low mortality, suggesting broader applicability for acute diverticulitis complications.