SciCombinator

Discover the most talked about and latest scientific content & concepts.

Concept: Hartmann's operation

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: A laparoscopic approach has been proposed to reduce the high morbidity and mortality associated with the Hartmann procedure for the emergency treatment of diverticulitis.

Concepts: Mortality rate, Diverticulitis, Hartmann's operation, Henri Albert Hartmann

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The rate of stoma reversal after Hartmann procedure is low, principally because of the technically demanding nature of the reversal procedure and preexisting comorbid disease frequently present in this patient group. Laparoscopic reversal of Hartmann procedure is an attractive alternative that can reduce perioperative morbidity but the feasibility of completing the procedure laparoscopically is often limited by extensive adhesion formation present after the initial open operation. We describe a technique for laparoscopic reversal of Hartmann procedure where the stoma is mobilized externally and a pneumoperitoneum established through this preexisting defect. Results for the first 7 cases show a median operative duration of 132 minutes and length of hospital stay of 6 days with no conversions. Insertion of the operating ports under direct vision and a more limited dissection to facilitate the anastomosis represents an alternative operative strategy that can be performed successfully, even in patients with comorbid disease.

Concepts: Time, Patient, Hospital, Surgery, Laparoscopic surgery, Laparoscopy, Pneumoperitoneum, Hartmann's operation

4

About 25% of patients with acute diverticulitis require emergency intervention. Currently, most patients with diverticular peritonitis undergo a Hartmann’s procedure. Our objective was to assess whether primary anastomosis (PA) with a diverting stoma allows lower mortality than Hartmann’s procedure (HP) inpatients with diverticular peritonitis.

Concepts: Medical terms, Surgery, Diverticulitis, Hartmann's operation

3

Hartmann’s procedure for perforated diverticulitis can be characterised by high morbidity and mortality rates. While the scientific community focuses on laparoscopic lavage as an alternative for laparotomy, the option of laparoscopic sigmoidectomy seems overlooked. We compared morbidity and hospital stay following acute laparoscopic sigmoidectomy (LS) and open sigmoidectomy (OS) for perforated diverticulitis.

Concepts: Scientific method, Mortality rate, Surgery, Actuarial science, Diverticulitis, Hartmann's operation, Henri Albert Hartmann

0

Hartmann’s procedure is commonly practiced in emergent cases with the restoration of bowel continuity planned at a second stage. This study assessed the rate of restorations following Hartmann’s procedure and evaluated factors affecting decision-making.

Concepts: Diverticulitis, Hartmann's operation, Henri Albert Hartmann

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The benefit of primary anastomosis (PA) without a diverting stoma over Hartmann’s procedure (HP) for colorectal perforation remains controversial. We compared postoperative mortality and morbidity between HP and PA without a diverting stoma for colorectal perforation of various etiologies.

Concepts: Observational study, Diverticulitis, Hartmann's operation

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A reversal of Hartmann’s procedure can be performed using either a laparoscopic or open approach. However, laparoscopic reversal (LR) of Hartmann’s procedure is challenging. This study was designed to compare the results between open and laparoscopic approaches.

Concepts: Hartmann's operation, Henri Albert Hartmann

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The Spanish Association of Coloproctology (AECP) and the Coloproctology Section of the Spanish Association of Surgeons (AEC), propose this consensus document about complicated diverticular disease that could be used for decision-making. Outpatient management, Hartmann’s procedure, laparoscopic peritoneal lavage, and the role of a laparoscopic approach in colonic resection are exposed.

Concepts: Surgery, Colon, General surgery, Diverticulitis, Hartmann's operation, Statement, Henri Albert Hartmann

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The Hartmann’s operation, although less frequently performed today, is still used when initial colonic anastomosis is too risky in the short term. However, the subsequent procedure to restore gastrointestinal continuity is associated with significant morbidity and mortality.

Concepts: Surgery, Hartmann's operation

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Hartmann’s procedure (HP) is commonly used for the emergency treatment of complicated sigmoid diverticulitis (CSD). While it is intended to restore intestinal continuity, in practice reversal is not carried out in all cases. It is important to know the frequency of reversal and the impact of patient-related factors on the decision for reversal.

Concepts: Intestine, Diverticulitis, Hartmann's operation, Henri Albert Hartmann