Hartmann’s operation: how often is it reversed and at what cost? A multicentre study

Abstract

Hartmann's reversal was performed in a small percentage of patients, mostly including those with benign disease. It had a significant morbidity.

Who gets Hartmann's reversed in a regional centre?

“…Our group had a median of 294 days between Hartmann's procedure and reversal, with 49/74 patients being reversed within 12 months which is not dissimilar to other studies. 3,5,13 Our complication rate of 23/74, with only 7/74 patients having Clavian-Dindo class III/IV, is also consistent with the literature. 3,5 Thus, we could not find any correlation between time to operation and complications to suggest a change in our practice.…”

A retrospective case note review of laparoscopic versus open reversal of Hartmann’s procedure

“…4 The UK, in particular, has a poor reversal rate, being stated as low as 18-22%. 5,6 This rate is extremely low compared with studies in the US that report reversal rates of 37% 7 and in Spain, reporting 35%. 5 Reversal is also associated with high complication and morbidity rates.…”

“…5,6 This rate is extremely low compared with studies in the US that report reversal rates of 37% 7 and in Spain, reporting 35%. 5 Reversal is also associated with high complication and morbidity rates. 8,9 Laparoscopic reversal of Hartmann's procedure (LRH) has been associated with a lower postoperative complication rate, a shorter hospital stay and a reduction in morbidity compared with open reversal (ORH).…”

Prevention of Small Intestine Bacterial Overgrowth Syndrome After Right Hemicolectomy for Colon Cancer

“…Таким образом, разработка инновационных способов формирования тонко-тол-стокишечных анастомозов, обладающих арефлюксны-ми свойствами, остается актуальной и приоритетной проблемой [21]. В настоящее время есть как сторон-ники, так и противники выполнения первичного межкишечного анастомоза в условиях экстренной хирургии [12,22,23], в плановой же хирургии все спе-циалисты формируют первичный тонко-толстокишеч-ный анастомоз.…”