Total laparoscopic reversal after open Hartmann's procedure for Hinchey III diverticulitis ‐ an annotated video vignette

2021 ◽  
Author(s):  
Wenming Yang ◽  
Qiang Du ◽  
Lie Yang
Keyword(s):  
Hartmann’S Procedure ◽  
Hartmann's Procedure ◽  
Video Vignette

Laparoscopic reversal of Hartmann's procedure for perforated diverticulitis – a video vignette

2021 ◽  
Author(s):  
Weronika Stupalkowska ◽  
Sarah Khalid ◽  
Akinfemi Akingboye ◽  
Pierpaolo Sileri ◽  
Isidoro Di Carlo ◽  
...  
Keyword(s):  
Hartmann’S Procedure ◽  
Perforated Diverticulitis ◽  
Hartmann's Procedure ◽  
Video Vignette

Emergency laparoscopic Hartmann's procedure for perforated diverticulitis – a video vignette

2020 ◽  
Vol 22 (12) ◽  
pp. 2360-2361
Author(s):  
S. Khalid ◽  
W. Stupalkowska ◽  
A. Akingboye ◽  
M. Gachabayov ◽  
R. Bergamaschi ◽  
...  
Keyword(s):  
Hartmann’S Procedure ◽  
Perforated Diverticulitis ◽  
Hartmann's Procedure ◽  
Video Vignette

Reversal of Hartmann’s procedure – Is Single incision laparoscopic reversal the way forward?

2021 ◽  
Author(s):  
Prem Thambi ◽  
Amlan Banerjee ◽  
Sathasivam Rajeev ◽  
J. Hornsby ◽  
Talvinder Gill
Keyword(s):  
Single Incision ◽  
Hartmann’S Procedure ◽  
Hartmann's Procedure ◽  
The Way

scholarly journals Hartmann’s procedure, reversal and rate of stoma-free survival

2018 ◽  
Vol 100 (4) ◽  
pp. 301-307 ◽  
Author(s):  
S Hallam ◽  
BS Mothe ◽  
RMR Tirumulaju
Keyword(s):  
Length Of Stay ◽  
Complication Rate ◽  
Major Complication ◽  
Wound Dehiscence ◽  
Hartmann’S Procedure ◽  
Hartmann's Procedure ◽  
Retrospective Audit ◽  
Audit Period ◽  
American Society ◽  
American Society Of Anesthesiologists

Background Hartmann’s procedure is a commonly performed operation for complicated left colon diverticulitis or malignancy. The timing for reversal of Hartmann’s is not well defined as it is technically challenging and carries a high complication rate. Methods This study is a retrospective audit of all patients who underwent Hartmann’s procedure between 2008 and 2014. Reversal of Hartmann’s rate, timing, American Society of Anesthesiologists grade, length of stay and complications (Clavien–Dindo) including 30-day mortality were recorded. Results Hartmann’s procedure (n = 228) indications were complicated diverticular disease 44% (n = 100), malignancy 32% (n = 74) and other causes 24%, (n = 56). Reversal of Hartmann’s rate was 47% (n = 108). Median age of patients was 58 years (range 21–84 years), American Society of Anesthesiologists grade 2 (range 1–4), length of stay was eight days (range 2–42 days). Median time to reversal of Hartmann’s was 11 months (range 4–96 months). The overall complication rate from reversal of Hartmann’s was 21%; 3.7% had a major complication of IIIa or above including three anastomotic leaks and one deep wound dehiscence. Failure of reversal and permanent stoma was less than 1% (n = 2). Thirty-day mortality following Hartmann’s procedure was 7% (n = 15). Where Hartmann’s procedure wass not reversed, for 30% (n = 31) this was the patient’s choice and 70% (n = 74) were either high risk or unfit. Conclusions Hartmann’s procedure is reversed less frequently than thought and consented for. Only 46% of Hartmann’s procedures were stoma free at the end of the audit period. The anastomotic complication rate of 1% is also low for reversal of Hartmann’s procedure in this study.

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