Reversal of Hartmann’s procedure: still a complicated operation

N. Horesh*, Y. Rudnicki, Y. Dreznik, A. P. Zbar, M. Gutman, O. Zmora, D. Rosin

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

Abstract

Hartmann’s procedure, colonic resection with an end colostomy and rectal closure, is used in a variety of surgical emergencies. It is a common surgical procedure that is often practiced in patients with colonic obstruction and colonic perforation, resolving the acute clinical situation in the majority of cases. Reversal of Hartmann’s procedure with restoration of bowel continuity occurs in a significantly low percentage of patients. There are several reasons contributing to the fact that many patients remain with a permanent colostomy following Hartmann’s procedure. These include factors related to the patients’ clinical status but also to the significant difficulty and morbidity related to the surgical reversal of Hartmann’s procedure. The aim of this study was to review the factors related to the fairly low percentage of patients undergoing Hartmann’s reversal as well as surgical techniques that could help surgeons restore intestinal continuity following Hartmann’s procedure and deal with the postoperative outcomes.

Original languageEnglish
Pages (from-to)81-87
Number of pages7
JournalTechniques in Coloproctology
Volume22
Issue number2
DOIs
StatePublished - 1 Feb 2018

Keywords

  • Hartmann’s reversal
  • Laparoscopic surgery
  • Postoperative outcome

Fingerprint

Dive into the research topics of 'Reversal of Hartmann’s procedure: still a complicated operation'. Together they form a unique fingerprint.

Cite this