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Hartmann procedure.

L Ling, T Aberg

Acta Chirurgica Scandinavica

|January 1, 1984

Summary

This summary is machine-generated.

The Hartmann procedure offers a viable surgical option for complex colorectal conditions, including perforations and obstructions. While effective, it carries a 14% operative mortality, with successful reversal in select cases.

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Area of Science:

Surgical Gastroenterology
Colorectal Surgery
Oncology

Background:

The Hartmann procedure is a surgical technique involving the creation of a colostomy and closure of the distal rectal stump.
It is frequently employed in emergency settings for conditions like perforated diverticulitis and colorectal cancer.
Its role in elective surgery and palliative care for advanced colorectal malignancy is also recognized.

Purpose of the Study:

To evaluate the efficacy and outcomes of the Hartmann procedure over a ten-year period.
To assess its utility as an emergency and elective surgical option.
To determine the operative mortality and success rate of reversal.

Main Methods:

Retrospective analysis of 42 patients undergoing the Hartmann procedure over ten years.

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Review of indications including perforated diverticulitis, sigmoid cancer, anastomotic disruption, and obstructive colorectal cancer.

Data collection on operative mortality and rates of reestablishing colorectal continuity.

Main Results:

The Hartmann procedure was performed in 42 patients.
Overall operative mortality was 14%.
Colorectal continuity was successfully reestablished in 13 out of 18 attempted reversals.

Conclusions:

The Hartmann procedure is a valuable alternative for emergency treatment of perforated diverticulitis and sigmoid cancer.
It serves as a useful option for managing anastomotic disruptions and obstructive colorectal cancer.
The procedure can be considered in elective cases with unexpected difficulties or as palliative care for advanced disease, with a notable rate of successful reversal.