The Hartmann procedure, five years' experience.
During a 5-year period (1985-1990) a Hartmann procedure was performed in 66 patients. Retrospective analysis was done to analyse circumstances influencing mortality, restoration of bowel continuity, prognostic value of per-operative peritonitis and results of open wound treatment. Thirteen patients (19.6%) died post-operatively. Colorectal continuity was subsequently restored in 27 patients of 44 potential candidates (61%). Peroperative purulent or faecal peritonitis and acute diverticulitis was found to significantly influence (p < 0.05) the mortality rate. Resection below the sigmoid level gave a significant lower frequency of reanastomosis. Open wound treatment in selected patients proved to be effective: only two (3.0%) cases of wound infection were seen in 66 patients.
Bade
J J
JJ
Department of Surgery, Deventer Hospital, The Netherlands.
Eeftinck Schattenkerk
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D012809:Colon, Sigmoid / Q000601:surgery*; D003108:Colonic Diseases / Q000601:surgery*; D003125:Colostomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies