Hartmann’s Procedure – a Method Still Live

Czech version

Authors: V. Veselý; V. Černý; J. Geiger; J. Šebor
Authors‘ workplace: Chirurgická klinika FN Plzeň-Lochotín, přednosta prof. MUDr. V. Třeška, DrSc.
Published in: Rozhl. Chir., 2006, roč. 85, č. 6, s. 277-279.
Category: Monothematic special - Original

Overview

Hartmann’s procedure is an operation indicated especially in emergency cases for left-sided colonic pathology where primary anastomosis is considered unsafe.

Methods:
Retrospective study 95 patients who underwent Hartmann’s procedure over a 5 year period in the Surgical Clinic of the University Hospital in Pilsen.

Results:
81 (85%) operations were emergency procedures. 45 (47%) operations were done for the malignant disease, the remaining 50 (53%) for benign disease (33 for complications of diverticular disease). Median age of patients was 69.4 years. The 30-day mortality rate was 16.8%. 37 patients had colostomy reversed, after a mean of 5.6 months with no mortality.

Conclusions:
Hartmann’s procedure is a safe method. Our results are similar to results collected by foreign clinics.

Key words:
Hartmann’s procedure – mortality – reversal of stoma – colon