The Hartmann procedure During a 10-year period, 59 patients had a Hartmann operation f o r diverticular disease ( n = 19), carcinoma ( n = 21), anastomotic disruption ( n = 5 ) , injury ( n = 3 ) and various other conditions ( n = I I ) . Twenty-two patients (37.3 per cent) died postoperatively.Wound infection or wound dehiscence occurred in 24 patients. Other complications inherent in this operation were colostomy necrosis or retraction ( n = 12) and leakage of the rectal stump (n = 3 ) . The mean hospital stay of the surviving patients was 28.4 days. Colorectal continuity was subsequently restored in 12 patients (32.4 per cent) and no difJulties were encountered with this procedure.
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