[Hartmann's resection of the large intestine--a method still useful].
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.
Veselý
V
V
Chirurgická klinika FN Plzen-Lochotín. vesely@fnplzen.cz
Cerný
V
V
Geiger
J
J
Sebor
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007420:Intestine, Large / Q000601:surgery*; D008297:Male; D008875:Middle Aged