title: Comparison of conventional and laparoscopic Hartmann's procedure reversal.
abstract: 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.
authors: 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
authors: Jean Pierre
authors: JP
authors: Faure
authors: Carole
authors: C
authors: Doucet
authors: David
authors: D
authors: Essique
authors: Youssef
authors: Y
authors: Badra
authors: Michel
authors: M
authors: Carretier
authors: Jean Pierre
authors: JP
authors: Richer
authors: Michel
authors: M
authors: Scépi
mesh_terms: 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