Hartmann’s Reversal Outcomes: a VASQIP Study

Hartmann’s Reversal Outcomes: a VASQIP Study

Hartmann’s reversal (HR) is perceived as a challenging procedure with reported mortality of 6–8% and morbidity up to 40%.1 Based on this unfavorable outcome, more than 50% of patients who underwent a Hartmann’s operation are being denied a colostomy reversal procedure.1 However, studies have shown t...

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Veröffentlicht in:Journal of gastrointestinal surgery 2021-02, Vol.25 (2), p.539-541
Hauptverfasser: Shahait, Awni, Qadeer, Afreen Fatma, Hasnain, Mustafa Rashad, Baldawi, Mohanad, Gruber, Scott A., Weaver, Donald, Mostafa, Gamal
Format: Artikel
Sprache:eng
Schlagworte:
Alcohol
Anastomosis, Surgical
Chemotherapy
Colectomy
Colostomy
Diabetes
Frailty
Gastroenterology
Humans
Laparoscopy
Medicine
Medicine & Public Health
Morbidity
Mortality
Patients
Postoperative Complications - etiology
Postoperative Complications - surgery
Postoperative period
Regression analysis
Research Communication
Retrospective Studies
Risk factors
Steroids
Surgeons
Surgery
Veterans
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Zusammenfassung:Hartmann’s reversal (HR) is perceived as a challenging procedure with reported mortality of 6–8% and morbidity up to 40%.1 Based on this unfavorable outcome, more than 50% of patients who underwent a Hartmann’s operation are being denied a colostomy reversal procedure.1 However, studies have shown that HR can still be safely performed even in patients with significant operative risk factors, such as increased age and preoperative comorbidities.2 Due to paucity of data regarding HR in veterans, this study aims to examine the preoperative characteristics and outcomes of HR in veterans and find the independent predictors of morbidity and mortality.
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-020-04807-z