Hartmann's resection of the large intestine--a method still useful
Veselý, V.; Cerný, V.; Geiger, J.; Sebor, J.
Rozhledy V Chirurgii Mesicnik Ceskoslovenske Chirurgicke Spolecnosti 85(6): 277-279
2006
ISSN/ISBN: 0035-9351 PMID: 16977864 Document Number: 598958
Hartmann's procedure is an operation indicated especially in emergency cases for left-sided colonic pathology where primary anastomosis is considered unsafe. Retrospective study 95 patients who underwent Hartmann's procedure over a 5 year period in the Surgical Clinic of the University Hospital in Pilsen. 81 (85%) operations were emergency procedures. 45 (47%) operations were done for the malignant disease, the remaining 50 (53%) for benign disease (33 for complications of diverticular disease). Median age of patients was 69.4 years. The 30-day mortality rate was 16.8%. 37 patients had colostomy reversed, after a mean of 5.6 months with no mortality. Hartmann's procedure is a safe method. Our results are similar to results collected by foreign clinics.