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Hartmann's operation: a personal experience

W H Isbister1, J Prasad

  • 1Department of Surgery, Wellington School of Medicine, New Zealand.

The Australian and New Zealand Journal of Surgery
|February 1, 1995
PubMed
Summary
This summary is machine-generated.

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Hartmann

Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Gastrointestinal Oncology

Background:

  • Hartmann's operation is a surgical procedure involving colostomy formation and rectal stump closure.
  • It is often employed for complicated diverticular disease and colorectal cancer.
  • Long-term outcomes and stoma reversal rates require evaluation.

Purpose of the Study:

  • To review the 15-year experience with Hartmann's operation at Wellington School of Medicine.
  • To assess patient outcomes, mortality, and stoma closure rates.
  • To evaluate the procedure's efficacy in managing complicated diverticular disease and rectal cancer.

Main Methods:

  • Retrospective analysis of 61 patients undergoing Hartmann's operation over 15 years.
  • Data collected on patient demographics, indications for surgery, and postoperative outcomes.

Related Experiment Videos

  • Analysis of stoma closure rates and associated complications.

    • Main Results:

    • A total of 61 patients (31 male, 30 female) underwent the procedure.
    • Common indications included complicated diverticular disease (27) and rectal cancer (27).
    • Overall 30-day mortality was 8.2% (5 patients). Stoma closure was successful in 19/27 patients with diverticular disease versus 2/27 with cancer.

    Conclusions:

    • Hartmann's operation is a viable option for complicated diverticular disease and rectal cancer.
    • Stoma reversal is feasible and safe in patients with diverticular disease.
    • Restoration of bowel continuity is less common after Hartmann's for rectal cancer.