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Related Experiment Videos

The Hartmann procedure revisited

E Totté1, U Creve, A Hubens

  • 1Department of Surgery, Stuivenberg Hospital, University of Antwerp, Belgium.

Acta Chirurgica Belgica
|July 1, 1993
PubMed
Summary
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Hartmann

Area of Science:

  • Colorectal Surgery
  • Surgical Oncology
  • Gastroenterology

Background:

  • Hartmann's procedure is a surgical option for complicated colorectal conditions.
  • This study reviews outcomes for patients undergoing this procedure.

Purpose of the Study:

  • To evaluate the outcomes, mortality, and complication rates of Hartmann's procedure.
  • To assess the feasibility and outcomes of restoring intestinal continuity after the procedure.

Main Methods:

  • Retrospective review of 37 consecutive Hartmann's procedures.
  • Analysis of indications, patient demographics, mortality, complications, and re-establishment of continuity.

Main Results:

  • Overall postoperative mortality was 30%, primarily due to sepsis.

Related Experiment Videos

  • Wound infections were the most common complication (43%).
  • Restoration of continuity had no postoperative deaths but was performed in a minority of eligible patients.
  • Conclusions:

    • Hartmann's procedure is associated with high mortality and morbidity, especially in emergency settings.
    • It can be life-saving and offers palliation for selected high-risk patients.
    • Restoration of continuity is safe but infrequently performed.