Hartmann procedure revisited

Objective: To assess the complications and results of Hartmann's procedure and secondary restoration of continuity for left‐sided colonic disease. Design: Retrospective study Setting: University hospitals, Northern Ireland. Subjects: 72 Patients who required a Hartmann's procedure over a 1...

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Veröffentlicht in:The European journal of surgery 2000-11, Vol.166 (11), p.878-881
Hauptverfasser: Khosraviani, Kourosh, Campbell, William J., Parks, Thomas G., Irwin, Samuel T.
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Sprache:eng
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Zusammenfassung:Objective: To assess the complications and results of Hartmann's procedure and secondary restoration of continuity for left‐sided colonic disease. Design: Retrospective study Setting: University hospitals, Northern Ireland. Subjects: 72 Patients who required a Hartmann's procedure over a 13 year period (1985–1998). Intervention: Of these 45 (63%) were done as emergencies and 27 (38%) as elective procedures. The indications for an emergency procedure were obstruction and perforation. Main outcome measures: Mortality, morbidity, reversal of stoma rate. Results: The overall postoperative mortality was 7/72 (10%), with no significant difference between the emergency (4/45, 9%) and the elective (3/27, 11%) groups. Postoperative complications occurred in 31 patients (43%), and 8 developed wound infections (11%). Of the 43 surviving patients who where deemed suitable for re‐establishment of continuity, 30 (70%) have had it done. There were no postoperative deaths or anastomotic dehiscences after the restoration of continuity. Conclusion: Hartmann's procedure remains a safe and suitable option in patients with left sided colonic emergencies. Copyright © 2000 Taylor and Francis Ltd.
ISSN:1102-4151
1741-9271
DOI:10.1080/110241500447272