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Perforated Diverticulitis
Published in Peter Sagar, Andrew G. Hill, Charles H. Knowles, Stefan Post, Willem A. Bemelman, Patricia L. Roberts, Susan Galandiuk, John R.T. Monson, Michael R.B. Keighley, Norman S. Williams, Keighley & Williams’ Surgery of the Anus, Rectum and Colon, 2019
Proponents of the Hartmann’s procedure state the procedure is associated with a shorter operating time and with no risk of an anastomotic insufficiency. However, reversal of the Hartmann operation is often more extensive and may be time-consuming or impossible. It may also bring a significant risk of complications compared with the reversal of a simple diverting ileostomy after sigmoidectomy with primary anastomosis and a defunctioning ileostomy.31,32 The rate of reversal after a diverting ileostomy is reported to be much higher (80% to 90%) than closure of Hartmann’s procedure (40% to 50%)31,33 which may necessitate covering ileostomy in 10% to 30% rate of reversal.
H
Published in Anton Sebastian, A Dictionary of the History of Medicine, 2018
Hartmann Operation Involves removal of upper rectum or sigmoid for cancer together with closure of the rectal stump and establishment of colostomy. Described by French surgeon, Henri Hartmann (1860–1952) of Paris in 1909.
Hartmann's Procedure
Published in P Ronan O’Connell, Robert D Madoff, Stanley M Goldberg, Michael J Solomon, Norman S Williams, Operative Surgery of the Colon, Rectum and Anus Operative Surgery of the Colon, Rectum and Anus, 2015
In 1923, Henri Hartmann described an operation which is now defined as resection of the sigmoid colon with construction of a terminal colostomy and closure of the rectal stump Figure 5.12.1. A variable length of rectum may also be resected. The indication was initially cancer of the upper or middle third of the rectum, at a time when anterior resection had not been developed. Today, Hartmann’s operation is usually performed as an emergency procedure to treat the complications of various colorectal diseases.
The Effect of Bilirubin on Clinical Outcomes of Patients With Colorectal Cancer Surgery: A Ten-Year Volume Single-Center Retrospective Study
Published in Nutrition and Cancer, 2023
Zi-Wei Li, Bin Zhang, Xiao-Yu Liu, Bing Kang, Xu-Rui Liu, Chao Yuan, Zheng-Qiang Wei, Dong Peng
We found that there were more overall complications in the higher IBil group than in the lower IBil group during transverse colectomy (p = 0.019 < 0.05). Among the patients who received the Hartmann operation, the main complications in the higher TBil group were more common than those in the lower TBil group (p = 0.021 < 0.05). Other specific information is shown in Table S1 (supplementary material).