Considerations for Hartmann’s reversal and Hartmann’s reversal outcomes—a multicenter study

Abstract

Many patients do not have restoration of bowel continuity after undergoing Hartmann's procedure. Hartmann's reversal is associated with a significant postoperative morbidity. Surgeons and patients should be aware of the possibility that the colostomy might become permanent.

Abstract Journal Colorectal Surgery

“…This technique overcomes several difficulties with previously described techniques for managing entero-atmospheric fistulas, such as the 'floating stoma' which is temporarily matured to a Bogota Bag (1). The use of the fistula isolation device overcomes the need for repeated manipulation of the vulnerable mucosa and allows easy application of common stoma appliances, providing a reproducible and cost effective solution.…”

“…Location based resect and discard strategies on colonoscopy for small polyps aims to reduce costs, increase availability of colonoscopy and allow for real time surveillance recommednations. 1 With this approach all diminutive polyps proximal to the rectosigmoid junction are presumed neoplastic, and those distally hyperplastic. This study aims to compare surveillance recommendations using a location-based resect and discard strategy for polyps less then 10 mm with current guidelines Method:…”

“…Different approaches have been described as alternatives to direct closure with no clear consensus. 1 We describe our experience with various perineal reconstruction techniques after PE.…”

“…Prolonged postoperative ileus (PPOI) represents a frequent complication following colorectal surgery, affecting approximately 10%-15% of these patients (1). The present systematic review and meta-analysis aimed to identify and evaluate the perioperative risk factors for PPOI.…”

“…Caecal bascule is a rare type of caecal volvulus caused by the caecum folding anteriorly over the ascending colon producing a "flap valve" obstruction. 1 The uncommon nature of this condition makes accurate and prompt diagnosis challenging. This case series aims to present a single institution experience in identifying and managing patients with caecal bascule.…”