Current indications for the Hartmann procedure

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• 作者：J. Barbieux ; ^{julienbarbieux@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; F. Plumereau ; A. Hamy
• 关键词：Hartmann procedure ; Peritonitis ; Restoration of intestinal continuity
• 刊名：Journal of Visceral Surgery
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：153
• 期：1
• 页码：31-38
• 全文大小：751 K

文摘

The Hartmann procedure is used in the case of left-sided colonic disease, especially in the setting of emergency where intraoperative conditions contraindicate completion of an anastomosis. This procedure has been initially described for the management of colorectal cancer and is based on a sigmoïdectomy without restoration of intestinal continuity, including a left-sided iliac terminal stoma and closure of the rectal stump. Both procedure and underlying risk factors explain high rates of mortality and morbidity, around 15 and 50% respectively, and a low overall rate of subsequent restoration of internal continuity, less than 50%. The purpose of this review was to evaluate the value of the Hartmann procedure and its equivalents in colonic surgery, according to its indications: colorectal cancer, peritonitis from diverticular disease, anastomotic complications, ischemic colitis, left-sided colonic volvulus and abdominal trauma.