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Hartmann's procedure: an appraisal

R J Whiston1, N C Armitage, D Wilcox

  • 1Department of Surgery, University Hospital, Nottingham.

Journal of the Royal Society of Medicine
|April 1, 1993
PubMed
Summary

Hartmann's procedure, an emergency operation for many, resulted in high mortality (22%) and morbidity (56%). Restoration of intestinal continuity was successful in 30 patients, though postoperative complications remained a concern.

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Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Patient Demographics

Background:

  • Hartmann's procedure is a significant surgical intervention.
  • High rates of emergency procedures are noted.
  • Understanding outcomes is crucial for patient care.

Purpose of the Study:

  • To evaluate the outcomes of Hartmann's procedure.
  • To assess mortality and morbidity associated with the procedure.
  • To analyze factors influencing successful reversal.

Main Methods:

  • Retrospective review of 97 patients undergoing Hartmann's procedure.
  • Data collected between 1981 and 1986.
  • Analysis of complication types and reversal rates.

Main Results:

  • Overall mortality was 22% and morbidity was 56%.
  • Infective and cardiovascular issues were the most common complications (77%).
  • 30 patients had successful restoration of intestinal continuity, primarily those with emergency benign disease.

Conclusions:

  • Hartmann's procedure is associated with significant mortality and morbidity.
  • Patient age and comorbidities contribute to complications.
  • While reversal is possible, postoperative morbidity persists.

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