Timing and method of reversal of Hartmann's procedure
The outcome of 145 patients undergoing Hartmann's resection between 1973 and 1989 has been reviewed. The mortality rate of the primary procedure was 8 per cent. Eighty patients proceeded to reanastomosis. Multifactorial analysis of these patients was undertaken to determine the risk involved. T...
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| Veröffentlicht in: | British journal of surgery 1992-08, Vol.79 (8), p.839-841 |
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| container_title | British journal of surgery |
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| creator | Pearce, N. W. Scott, S. D. Karran, S. J. |
| description | The outcome of 145 patients undergoing Hartmann's resection between 1973 and 1989 has been reviewed. The mortality rate of the primary procedure was 8 per cent. Eighty patients proceeded to reanastomosis. Multifactorial analysis of these patients was undertaken to determine the risk involved. The interval between the primary and secondary procedures was found to be the most important factor. Six of 12 patients had clinical evidence of a leak when this interval was 6 months. All deaths (three patients) and clinical septicaemia (four) occurred in the two ‘early’ groups. All colovaginal fistulae (three patients) and strictures (three) were associated with stapled anastomoses. No association was found between the complication rate following reanastomosis and the initial pathology or grade of surgeon undertaking the secondary operation. |
| doi_str_mv | 10.1002/bjs.1800790844 |
| format | Article |
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W. ; Scott, S. D. ; Karran, S. J.</creator><creatorcontrib>Pearce, N. W. ; Scott, S. D. ; Karran, S. J.</creatorcontrib><description>The outcome of 145 patients undergoing Hartmann's resection between 1973 and 1989 has been reviewed. The mortality rate of the primary procedure was 8 per cent. Eighty patients proceeded to reanastomosis. Multifactorial analysis of these patients was undertaken to determine the risk involved. The interval between the primary and secondary procedures was found to be the most important factor. Six of 12 patients had clinical evidence of a leak when this interval was <3 months, compared with seven of 28 for 3–6 months, and none of 40 when the second operation was delayed for >6 months. All deaths (three patients) and clinical septicaemia (four) occurred in the two ‘early’ groups. All colovaginal fistulae (three patients) and strictures (three) were associated with stapled anastomoses. No association was found between the complication rate following reanastomosis and the initial pathology or grade of surgeon undertaking the secondary operation.</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.1800790844</identifier><identifier>PMID: 1393489</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Bristol: John Wiley & Sons, Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anastomosis, Surgical - methods ; Anastomosis, Surgical - mortality ; Biological and medical sciences ; Colonic Diseases - mortality ; Colonic Diseases - surgery ; Colostomy - methods ; Colostomy - mortality ; Female ; Humans ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications - mortality ; Reoperation ; Retrospective Studies ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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W.</creatorcontrib><creatorcontrib>Scott, S. D.</creatorcontrib><creatorcontrib>Karran, S. J.</creatorcontrib><title>Timing and method of reversal of Hartmann's procedure</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>The outcome of 145 patients undergoing Hartmann's resection between 1973 and 1989 has been reviewed. The mortality rate of the primary procedure was 8 per cent. Eighty patients proceeded to reanastomosis. Multifactorial analysis of these patients was undertaken to determine the risk involved. The interval between the primary and secondary procedures was found to be the most important factor. Six of 12 patients had clinical evidence of a leak when this interval was <3 months, compared with seven of 28 for 3–6 months, and none of 40 when the second operation was delayed for >6 months. All deaths (three patients) and clinical septicaemia (four) occurred in the two ‘early’ groups. All colovaginal fistulae (three patients) and strictures (three) were associated with stapled anastomoses. No association was found between the complication rate following reanastomosis and the initial pathology or grade of surgeon undertaking the secondary operation.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anastomosis, Surgical - methods</subject><subject>Anastomosis, Surgical - mortality</subject><subject>Biological and medical sciences</subject><subject>Colonic Diseases - mortality</subject><subject>Colonic Diseases - surgery</subject><subject>Colostomy - methods</subject><subject>Colostomy - mortality</subject><subject>Female</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications - mortality</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Time Factors</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkElPwzAQhS0EgrJcuSHlgOAUGG9JfISKVRWLAHG0Js4EAkkKdsvy73HVip5me9-M5jG2y-GIA4jj8i0c8QIgN1AotcIGXGY6FTwrVtkAYj_lUsgNthnCGwCXoMU6W-fSSFWYAdOPTdf0Lwn2VdLR5HVcJeM68fRFPmA7yy_RTzrs-8OQfPixo2rqaZut1dgG2lnELfZ0fvY4vExHtxdXw5NR6qQyKuVGclkqLOpKgSRALRxkKstAcDQOUTgua0llSSWBK6AkR3mJeWRyHdktdjDfGy9_TilMbNcER22LPY2nwebxNaF5HoV7C-G07KiyH77p0P_axZ9xvr-YY3DY1h5714R_mVbKaDG7Z-ay76al3-UWsDOvbfTaLr22p9cPyyqy6ZxtwoR-_ln07zbLZa7t882FLcz58G50c29P5R9n8IAw</recordid><startdate>199208</startdate><enddate>199208</enddate><creator>Pearce, N. W.</creator><creator>Scott, S. D.</creator><creator>Karran, S. J.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199208</creationdate><title>Timing and method of reversal of Hartmann's procedure</title><author>Pearce, N. W. ; Scott, S. D. ; Karran, S. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3494-19313b4a8fd403e0a52c06466021a9caa2c13f3ebbebe0c80bece7ba7b4a75313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anastomosis, Surgical - methods</topic><topic>Anastomosis, Surgical - mortality</topic><topic>Biological and medical sciences</topic><topic>Colonic Diseases - mortality</topic><topic>Colonic Diseases - surgery</topic><topic>Colostomy - methods</topic><topic>Colostomy - mortality</topic><topic>Female</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications - mortality</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pearce, N. W.</creatorcontrib><creatorcontrib>Scott, S. D.</creatorcontrib><creatorcontrib>Karran, S. J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pearce, N. W.</au><au>Scott, S. D.</au><au>Karran, S. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Timing and method of reversal of Hartmann's procedure</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>1992-08</date><risdate>1992</risdate><volume>79</volume><issue>8</issue><spage>839</spage><epage>841</epage><pages>839-841</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>The outcome of 145 patients undergoing Hartmann's resection between 1973 and 1989 has been reviewed. The mortality rate of the primary procedure was 8 per cent. Eighty patients proceeded to reanastomosis. Multifactorial analysis of these patients was undertaken to determine the risk involved. The interval between the primary and secondary procedures was found to be the most important factor. Six of 12 patients had clinical evidence of a leak when this interval was <3 months, compared with seven of 28 for 3–6 months, and none of 40 when the second operation was delayed for >6 months. All deaths (three patients) and clinical septicaemia (four) occurred in the two ‘early’ groups. All colovaginal fistulae (three patients) and strictures (three) were associated with stapled anastomoses. No association was found between the complication rate following reanastomosis and the initial pathology or grade of surgeon undertaking the secondary operation.</abstract><cop>Bristol</cop><pub>John Wiley & Sons, Ltd</pub><pmid>1393489</pmid><doi>10.1002/bjs.1800790844</doi><tpages>3</tpages></addata></record> |
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| language | eng |
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| subjects | Adult Aged Aged, 80 and over Anastomosis, Surgical - methods Anastomosis, Surgical - mortality Biological and medical sciences Colonic Diseases - mortality Colonic Diseases - surgery Colostomy - methods Colostomy - mortality Female Humans Length of Stay Male Medical sciences Middle Aged Postoperative Complications - mortality Reoperation Retrospective Studies Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Time Factors |
| title | Timing and method of reversal of Hartmann's procedure |
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