title: Retrospective Evaluation of Laparoscopic Versus Open Hartmann's Reversal: A Single-Institution Experience.
abstract: OBJECTIVE
  Restoration of intestinal continuity after Hartmann's procedure has significant associated morbidity. There has been a trend toward increasing utilization of laparoscopy in colorectal surgery, with improvements in short-term outcomes. This study evaluates our experience with laparoscopic Hartmann's procedure reversal.
  
  
  METHODS
  All patients who underwent laparoscopic and open reversal of Hartmann's procedure between 2007 and 2010 were reviewed. Demographics, length of stay, postoperative morbidity, and mortality were compared between the 2 groups.
  
  
  RESULTS
  Nineteen patients underwent laparoscopic Hartmann's reversal and 62 underwent open reversal. There were no statistically significant differences in demographics, comorbidities, mean operative times, blood loss, reoperation, and readmission rates between the groups. The laparoscopic group had a shorter length of hospitalization (5.7 vs. 7.9 d, P<0.01).
  
  
  CONCLUSIONS
  Laparoscopic reversal of Hartmann's pouch is a safe and feasible alternative to the open reversal technique. Patients who undergo the laparoscopic technique have a shorter length of hospital stay.
authors.affiliation: *Department of Surgery †Center for Biostatistics, The Ohio State University Wexner Medical Center, Columbus, OH.
authors.forename: Shayna
authors.initials: S
authors.lastname: Brathwaite
authors.forename: Maureen
authors.initials: M
authors.lastname: Kuhrt
authors.forename: Lianbo
authors.initials: L
authors.lastname: Yu
authors.forename: Mark
authors.initials: M
authors.lastname: Arnold
authors.forename: Syed
authors.initials: S
authors.lastname: Husain
authors.forename: Alan E
authors.initials: AE
authors.lastname: Harzman
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D003106:Colon / Q000601:surgery*; D003108:Colonic Diseases / Q000601:surgery*; D003125:Colostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009017:Morbidity / Q000639:trends; D009820:Ohio / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology*; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies; D015996:Survival Rate / Q000639:trends; D016896:Treatment Outcome