Comparison of conventional and laparoscopic Hartmann's procedure reversal.
OBJECTIVE
This study compares open Hartmann's procedure reversal (OHPR) and laparoscopic Hartmann's procedure reversal (LHPR) in patients first treated for peritonitis (Henchey III or IV).


METHODS
Fourteen patients who underwent LHPR during a 2-year period were compared with 20 patients who had previously undergone an open procedure at the same institution.


RESULTS
Conversion rate was 14.28%. Operating time was shorter for the laparoscopic group [143 (90 to 240) vs. 180 (90 to 350) min, P<0.05]. Hospital length of stay was shorter for the laparoscopic group [9.5 (4 to 18) vs. 11 (6 to 39)]. Use of patient-controlled analgesia was not significantly shorter in the laparoscopic group [3 (0 to 4) vs. 3.5 (0 to 8)]. Morbidities observed in the LHPR group include a parietal abscess and an anastomotic stenosis without surgical treatment. The OHPR group had 6 complications: 1 anastomotic leak and 5 incisional hernias.


CONCLUSIONS
LHPR with a conversion rate of 14.28% seems to be a method with shorter operating time and less morbidity compared with OHPR.
Faure
Jean Pierre
JP
Service Chirurgie Viscérale Digestive et Endocrinienne, Centre de Don de Corps, Faculté de Médecine et de Pharmacie, Université de Poitiers, 6 rue de la Miletrie, BP 199, 86034 Poitiers cedex, France. j.p.faure@chu-poitiers.fr
Doucet
Carole
C
Essique
David
D
Badra
Youssef
Y
Carretier
Michel
M
Richer
Jean Pierre
JP
Scépi
Michel
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods*; D003125:Colostomy; D005260:Female; D006801:Humans; D007432:Intraoperative Period / Q000706:statistics & numerical data; D010535:Laparoscopy / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome