[Hartmann's operation in complicated lesions of the sigmoid and rectum].
A personal series of 49 Hartmann's operations carried out in the period 1975-1986 for complicated rectal-sigmoid lesions, 43 for cancer and 6 for diverticular sigmoiditis, are reported. Fully 45 of these patients (92%) were operated on in emergency conditions and the choice of the operation was imposed by the gravity of the lesions observed. In the light of this series and a review of the literature, it is maintained that the operation still has a place in complicated rectal-sigmoid lesions, especially under emergency conditions and in patients at risk for age and general conditions, it being very well tolerated and consenting recanalisation if necessary.
Castrati
G
G
Scotti
M
M
Fiorone
E
E
Arrigoni
G
G
D000368:Aged; D000369:Aged, 80 and over; D003092:Colitis / Q000601:surgery; D015179:Colorectal Neoplasms / Q000601:surgery*; D004241:Diverticulum, Colon / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D012810:Sigmoid Diseases / Q000601:surgery*; D012811:Sigmoid Neoplasms / Q000601:surgery*
L'intervento di Hartmann nelle lesioni complicate del retto sigma.