Conventional and Laparoscopic Reversal of the Hartmann Procedure: a Review of Literature
Purpose The aim of this study was to provide a systematic overview on both laparoscopic and conventional Hartmann reversal. Furthermore, the Hartmann procedure is reevaluated in the light of new emerging alternatives. Methods Medline, Ovid, EMBASE, and Cochrane database were searched for studies rep...
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| Veröffentlicht in: | Journal of gastrointestinal surgery 2010-04, Vol.14 (4), p.743-752 |
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| container_title | Journal of gastrointestinal surgery |
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| creator | van de Wall, Bryan Joost Marinus Draaisma, Werner A. Schouten, Esther S. Broeders, Ivo A. M. J. Consten, Esther C. J. |
| description | Purpose
The aim of this study was to provide a systematic overview on both laparoscopic and conventional Hartmann reversal. Furthermore, the Hartmann procedure is reevaluated in the light of new emerging alternatives.
Methods
Medline, Ovid, EMBASE, and Cochrane database were searched for studies reporting on outcomes after Hartmann reversal.
Results
Thirty-five studies were included in this review of which 30 were retrospective. A total of 6,249 patients with a mean age of 60 years underwent Hartmann reversal. Two thirds of patients were classified as American Society of Anesthesiologists (ASA) I–II. The mean reversal rate after a Hartmann procedure was 44%, and mean time interval between Hartmann procedure and Hartmann reversal was 7.5 months. The most frequent reported reasons for renouncing Hartmann reversal were high ASA classification and patients’ refusal. The overall morbidity rate ranged from 3% to 50% (mean 16.3%) and mortality rate from 0% to 7.1% (mean 1%). Patients treated laparoscopically had a shorter hospital stay (6.9 vs. 10.7 days) and appeared to have lower mean morbidity rates compared to conventional surgery (12.2% vs. 20.3%).
Conclusion
Hartmann reversal carries a high risk on perioperative morbidity and mortality. The mean reversal rate is considerably low (44%). Laparoscopic reversal compares favorably to conventional; however, high level evidence is needed to determine whether it is superior. |
| doi_str_mv | 10.1007/s11605-009-1084-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2836249</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>733255362</sourcerecordid><originalsourceid>FETCH-LOGICAL-c469t-bd713f81abbdc36c6f7fb12a0830c910473786e574e4d0ced54473a3a88060313</originalsourceid><addsrcrecordid>eNp1kU1r3DAQhkVoadK0PyCXYOihJ7czlizJORTK0jaFhYSQQm5CluXEwSttJHtL_31n2aX5gJ4kZp555-Nl7AThEwKozxlRQl0CNCWCFiU_YEeoFS-FrOQr-kODZVXXN4fsbc73AKgA9Rt2iE3Dpa6rI3aziGHjwzTEYMfChq5Y2rVNMbu4Hlxx5Tc-ZcrEvpjufHFu07SyIRSXKTrfzcmfFXZLDf73llkOk092ovg79rq3Y_bv9-8x-_X92_XivFxe_Pi5-LosnZDNVLadQt5rtG3bOS6d7FXfYmVBc3ANglBcaelrJbzogFrWgkKWW61BAkd-zL7sdNdzu_Kdo12SHc06DSub_phoB_M8E4Y7cxs3ptJcVqIhgY97gRQfZp8nsxqy8-Nog49zNopzOiGxRH54Qd7HOdHdskHEiktotCAKd5SjK-bk-3-zIJitbWZnmyHbzNY2w6nm9OkSjxV7nwiodkCmVLj16Unr_6r-BXHaoxM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1112360984</pqid></control><display><type>article</type><title>Conventional and Laparoscopic Reversal of the Hartmann Procedure: a Review of Literature</title><source>MEDLINE</source><source>SpringerNature Complete Journals</source><creator>van de Wall, Bryan Joost Marinus ; Draaisma, Werner A. ; Schouten, Esther S. ; Broeders, Ivo A. M. J. ; Consten, Esther C. J.</creator><creatorcontrib>van de Wall, Bryan Joost Marinus ; Draaisma, Werner A. ; Schouten, Esther S. ; Broeders, Ivo A. M. J. ; Consten, Esther C. J.</creatorcontrib><description>Purpose
The aim of this study was to provide a systematic overview on both laparoscopic and conventional Hartmann reversal. Furthermore, the Hartmann procedure is reevaluated in the light of new emerging alternatives.
Methods
Medline, Ovid, EMBASE, and Cochrane database were searched for studies reporting on outcomes after Hartmann reversal.
Results
Thirty-five studies were included in this review of which 30 were retrospective. A total of 6,249 patients with a mean age of 60 years underwent Hartmann reversal. Two thirds of patients were classified as American Society of Anesthesiologists (ASA) I–II. The mean reversal rate after a Hartmann procedure was 44%, and mean time interval between Hartmann procedure and Hartmann reversal was 7.5 months. The most frequent reported reasons for renouncing Hartmann reversal were high ASA classification and patients’ refusal. The overall morbidity rate ranged from 3% to 50% (mean 16.3%) and mortality rate from 0% to 7.1% (mean 1%). Patients treated laparoscopically had a shorter hospital stay (6.9 vs. 10.7 days) and appeared to have lower mean morbidity rates compared to conventional surgery (12.2% vs. 20.3%).
Conclusion
Hartmann reversal carries a high risk on perioperative morbidity and mortality. The mean reversal rate is considerably low (44%). Laparoscopic reversal compares favorably to conventional; however, high level evidence is needed to determine whether it is superior.</description><identifier>ISSN: 1091-255X</identifier><identifier>EISSN: 1873-4626</identifier><identifier>DOI: 10.1007/s11605-009-1084-3</identifier><identifier>PMID: 19936852</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Colorectal Neoplasms - surgery ; Colorectal Surgery - methods ; Colostomy ; Gastroenterology ; Hospitals ; Humans ; Intraoperative Complications ; Laparoscopy ; Medicine ; Medicine & Public Health ; Morbidity ; Postoperative Complications ; Reoperation ; Review ; Review Article ; Surgery</subject><ispartof>Journal of gastrointestinal surgery, 2010-04, Vol.14 (4), p.743-752</ispartof><rights>The Author(s) 2009</rights><rights>The Society for Surgery of the Alimentary Tract 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-bd713f81abbdc36c6f7fb12a0830c910473786e574e4d0ced54473a3a88060313</citedby><cites>FETCH-LOGICAL-c469t-bd713f81abbdc36c6f7fb12a0830c910473786e574e4d0ced54473a3a88060313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11605-009-1084-3$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11605-009-1084-3$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19936852$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van de Wall, Bryan Joost Marinus</creatorcontrib><creatorcontrib>Draaisma, Werner A.</creatorcontrib><creatorcontrib>Schouten, Esther S.</creatorcontrib><creatorcontrib>Broeders, Ivo A. M. J.</creatorcontrib><creatorcontrib>Consten, Esther C. J.</creatorcontrib><title>Conventional and Laparoscopic Reversal of the Hartmann Procedure: a Review of Literature</title><title>Journal of gastrointestinal surgery</title><addtitle>J Gastrointest Surg</addtitle><addtitle>J Gastrointest Surg</addtitle><description>Purpose
The aim of this study was to provide a systematic overview on both laparoscopic and conventional Hartmann reversal. Furthermore, the Hartmann procedure is reevaluated in the light of new emerging alternatives.
Methods
Medline, Ovid, EMBASE, and Cochrane database were searched for studies reporting on outcomes after Hartmann reversal.
Results
Thirty-five studies were included in this review of which 30 were retrospective. A total of 6,249 patients with a mean age of 60 years underwent Hartmann reversal. Two thirds of patients were classified as American Society of Anesthesiologists (ASA) I–II. The mean reversal rate after a Hartmann procedure was 44%, and mean time interval between Hartmann procedure and Hartmann reversal was 7.5 months. The most frequent reported reasons for renouncing Hartmann reversal were high ASA classification and patients’ refusal. The overall morbidity rate ranged from 3% to 50% (mean 16.3%) and mortality rate from 0% to 7.1% (mean 1%). Patients treated laparoscopically had a shorter hospital stay (6.9 vs. 10.7 days) and appeared to have lower mean morbidity rates compared to conventional surgery (12.2% vs. 20.3%).
Conclusion
Hartmann reversal carries a high risk on perioperative morbidity and mortality. The mean reversal rate is considerably low (44%). Laparoscopic reversal compares favorably to conventional; however, high level evidence is needed to determine whether it is superior.</description><subject>Colorectal Neoplasms - surgery</subject><subject>Colorectal Surgery - methods</subject><subject>Colostomy</subject><subject>Gastroenterology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intraoperative Complications</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morbidity</subject><subject>Postoperative Complications</subject><subject>Reoperation</subject><subject>Review</subject><subject>Review Article</subject><subject>Surgery</subject><issn>1091-255X</issn><issn>1873-4626</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU1r3DAQhkVoadK0PyCXYOihJ7czlizJORTK0jaFhYSQQm5CluXEwSttJHtL_31n2aX5gJ4kZp555-Nl7AThEwKozxlRQl0CNCWCFiU_YEeoFS-FrOQr-kODZVXXN4fsbc73AKgA9Rt2iE3Dpa6rI3aziGHjwzTEYMfChq5Y2rVNMbu4Hlxx5Tc-ZcrEvpjufHFu07SyIRSXKTrfzcmfFXZLDf73llkOk092ovg79rq3Y_bv9-8x-_X92_XivFxe_Pi5-LosnZDNVLadQt5rtG3bOS6d7FXfYmVBc3ANglBcaelrJbzogFrWgkKWW61BAkd-zL7sdNdzu_Kdo12SHc06DSub_phoB_M8E4Y7cxs3ptJcVqIhgY97gRQfZp8nsxqy8-Nog49zNopzOiGxRH54Qd7HOdHdskHEiktotCAKd5SjK-bk-3-zIJitbWZnmyHbzNY2w6nm9OkSjxV7nwiodkCmVLj16Unr_6r-BXHaoxM</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>van de Wall, Bryan Joost Marinus</creator><creator>Draaisma, Werner A.</creator><creator>Schouten, Esther S.</creator><creator>Broeders, Ivo A. M. J.</creator><creator>Consten, Esther C. 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M. J. ; Consten, Esther C. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c469t-bd713f81abbdc36c6f7fb12a0830c910473786e574e4d0ced54473a3a88060313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Colorectal Neoplasms - surgery</topic><topic>Colorectal Surgery - methods</topic><topic>Colostomy</topic><topic>Gastroenterology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intraoperative Complications</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morbidity</topic><topic>Postoperative Complications</topic><topic>Reoperation</topic><topic>Review</topic><topic>Review Article</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van de Wall, Bryan Joost Marinus</creatorcontrib><creatorcontrib>Draaisma, Werner A.</creatorcontrib><creatorcontrib>Schouten, Esther S.</creatorcontrib><creatorcontrib>Broeders, Ivo A. M. J.</creatorcontrib><creatorcontrib>Consten, Esther C. J.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of gastrointestinal surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van de Wall, Bryan Joost Marinus</au><au>Draaisma, Werner A.</au><au>Schouten, Esther S.</au><au>Broeders, Ivo A. M. J.</au><au>Consten, Esther C. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Conventional and Laparoscopic Reversal of the Hartmann Procedure: a Review of Literature</atitle><jtitle>Journal of gastrointestinal surgery</jtitle><stitle>J Gastrointest Surg</stitle><addtitle>J Gastrointest Surg</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>14</volume><issue>4</issue><spage>743</spage><epage>752</epage><pages>743-752</pages><issn>1091-255X</issn><eissn>1873-4626</eissn><abstract>Purpose
The aim of this study was to provide a systematic overview on both laparoscopic and conventional Hartmann reversal. Furthermore, the Hartmann procedure is reevaluated in the light of new emerging alternatives.
Methods
Medline, Ovid, EMBASE, and Cochrane database were searched for studies reporting on outcomes after Hartmann reversal.
Results
Thirty-five studies were included in this review of which 30 were retrospective. A total of 6,249 patients with a mean age of 60 years underwent Hartmann reversal. Two thirds of patients were classified as American Society of Anesthesiologists (ASA) I–II. The mean reversal rate after a Hartmann procedure was 44%, and mean time interval between Hartmann procedure and Hartmann reversal was 7.5 months. The most frequent reported reasons for renouncing Hartmann reversal were high ASA classification and patients’ refusal. The overall morbidity rate ranged from 3% to 50% (mean 16.3%) and mortality rate from 0% to 7.1% (mean 1%). Patients treated laparoscopically had a shorter hospital stay (6.9 vs. 10.7 days) and appeared to have lower mean morbidity rates compared to conventional surgery (12.2% vs. 20.3%).
Conclusion
Hartmann reversal carries a high risk on perioperative morbidity and mortality. The mean reversal rate is considerably low (44%). Laparoscopic reversal compares favorably to conventional; however, high level evidence is needed to determine whether it is superior.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>19936852</pmid><doi>10.1007/s11605-009-1084-3</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1091-255X |
| ispartof | Journal of gastrointestinal surgery, 2010-04, Vol.14 (4), p.743-752 |
| issn | 1091-255X 1873-4626 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2836249 |
| source | MEDLINE; SpringerNature Complete Journals |
| subjects | Colorectal Neoplasms - surgery Colorectal Surgery - methods Colostomy Gastroenterology Hospitals Humans Intraoperative Complications Laparoscopy Medicine Medicine & Public Health Morbidity Postoperative Complications Reoperation Review Review Article Surgery |
| title | Conventional and Laparoscopic Reversal of the Hartmann Procedure: a Review of Literature |
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