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[Colorectal reconversion after Hartmann procedure. Apropos of 26 cases]
M L Bisogno1, G Puntillo, R Andrich
11o Divisione Chirurgica, Azienda Ospedaliera Complesso Ospedaliero S. Giovanni.
Annali Italiani Di Chirurgia
|December 3, 1998
Summary
Reversal of Hartmann operation (RCR) in colorectal emergencies shows a 46.4% reconversion rate. This study analyzes RCR outcomes, justifying the procedure for improved patient quality of life.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes
- Emergency Medicine
Background:
- The Hartmann operation is a common procedure for colorectal emergencies.
- Reversal of the Hartmann operation (RCR) aims to restore bowel continuity.
- Data on RCR outcomes in emergency settings are crucial for surgical decision-making.
Purpose of the Study:
- To report the results of RCR in patients who underwent Hartmann operation for colorectal emergencies.
- To analyze the reconversion index, morbidity, and mortality associated with RCR.
- To examine the tactical, technical, and prognostic aspects of RCR.
Main Methods:
- Retrospective analysis of 26 patients who underwent RCR.
- Data collected from the Surgical Department of S. Giovanni Hospital (1986-1995).
- Evaluation of key surgical outcomes: reconversion rate, morbidity, and mortality.
Main Results:
- The reconversion index was 46.4%.
- Morbidity rate was 42.3%.
- Operation mortality rate was 3.8%.
Conclusions:
- The reported RCR outcomes align with existing literature.
- RCR is a complex procedure with significant morbidity and mortality.
- The potential for improved quality of life justifies RCR in selected patients.