scholarly journals Second-look surgery following Hartmann's procedure for obstructive left-sided colorectal cancer

2016 ◽  
Vol 12 (5) ◽  
pp. 3609-3613 ◽  
Author(s):  
Naohito Beppu ◽  
Fumihiko Kimura ◽  
Nagahide Matsubara ◽  
Masashi Noda ◽  
Naohiro Tomita ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Hartmann’S Procedure ◽  
Hartmann's Procedure ◽  
Second Look

scholarly journals Colonic invagination anastomosis in surgery of complicated forms of diverticular disease

2021 ◽  
Vol 20 (4) ◽  
pp. 42-48
Author(s):  
Yu. S. Pankratova ◽  
O. Yu. Karpukhin ◽  
M. I. Ziganshin ◽  
A. F. Shakurov
Keyword(s):  
Colorectal Cancer ◽  
Diverticular Disease ◽  
Primary Anastomosis ◽  
Colorectal Anastomosis ◽  
Hartmann’S Procedure ◽  
Control Group ◽  
Stoma Closure ◽  
Double Row ◽  
Hartmann's Procedure ◽  
Anastomosis Leakage

AIM: to evaluate the prospects of using a colorectal invaginated anastomosis in patients with complicated diverticular disease (CDD).PATIENTS AND METHODS: during the period from 2014 to 2020, colorectal invaginated anastomosis, was used in 42 patients: 18 patients with CDD and 20 patients with colorectal cancer for stoma closure after Hartmann’s procedure. The comparison group consisted of 24 patients with CDD and 20 patients with colorectal cancer for stoma closure after Hartmann’s procedure: colorectal anastomosis was created here using traditional double-row handsewn technique. All patients underwent surgery with open access, while the primary anastomosis was performed in 20 (47.6%) patients, and in 22 (52.4%) patients of the group underwent stoma takedown.RESULTS: no anastomosis leakage developed in the main group. Moreover, the presence of single small diverticula with a diameter of 2–3 mm near the area of the anastomosis was not an indication to extend the resection borders. In the control group, in 13 (54.2%) patients, small diverticula were detected in the anastomosis are as well and required to expand the proximal border of resection. In this group, anastomosis leakage occurred in 2 (6.8%) patients with diverticular disease and required Hartmann’s procedure.CONCLUSION: the colorectal invaginated anastomosis is justified for patients with CDD during stoma takedown because it minimizes the risk of anastomosis leakage.

scholarly journals EP.FRI.815 Hartmann’s at 100: Relevant or Redundant?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Nicholas Frakas ◽  
Michael Conroy ◽  
Holly Harris ◽  
Ross Kenny ◽  
Mirza Baig
Keyword(s):  
Colorectal Cancer ◽  
Hospital Admissions ◽  
Acute Diverticulitis ◽  
Day Surgery ◽  
Benign Disease ◽  
Hartmann’S Procedure ◽  
Emergency Setting ◽  
Rectosigmoid Colon ◽  
Hartmann's Procedure ◽  
Effective Option

Abstract Introduction Henri Albert Hartmann first described resection of the rectosigmoid colon and exteriorization of the bowel with a colostomy in 1921. As we approach the centenary anniversary of Hartmann’s procedure we feel it is the appropriate time to discuss this significant surgical advancement and its relevance in modern day surgery.    Methods We provide a contemporary overview of the literature, highlighting various aspects of the Hartmann’s procedure applicable to both today’s clinical practice and that of tomorrow. Results Hartmann’s procedure was initially performed for colorectal carcinoma in 1921. One hundred years on, the Hartmann’s procedure remains a safe and effective option in select patients with colorectal cancer and at high risk of anastomotic failure. In recent years, the majority of Hartmann’s procedures have been performed for benign disease and the majority of these cases are in the emergency setting. As hospital admissions with acute diverticulitis continue to rise steeply, the importance of the Hartmann’s procedure in the field of surgery continues. Hartmann’s procedure has adapted as surgery has advanced. Hartmann’s is now performed both laparoscopically and robotically with good postoperative outcomes.   Conclusions In 1921, few would have predicted how modern day medicine and surgery is today. Hartmann’s procedure has survived the surgical test of time, and its key principles remain the same. As we look to the future, it is unlikely that it’s role will be lost to surgical advances, but to alternative management modalities in disease prevention.  

scholarly journals Time frames and volume of surgical intervention of reconstructive restorative stage after Hartmann’s procedure

2017 ◽  
Vol 98 (1) ◽  
pp. 67-72
Author(s):  
I G Gataullin ◽  
M M Khalikov ◽  
E V Kozlova ◽  
Z A Afanas’eva ◽  
V P Potanin
Keyword(s):  
Colorectal Cancer ◽  
Anal Sphincter ◽  
Reconstructive Surgery ◽  
Hartmann’S Procedure ◽  
Optimal Time ◽  
Maximum Pressure ◽  
Surgical Department ◽  
Hartmann's Procedure ◽  
Morphological Studies ◽  
Initial Surgery

Aim. To improve immediate and remote results of reconstructive restorative procedures in patients with complicated colorectal cancer. Methods. The study is based on clinical experience of treatment of 107 patients who had reconstructive restorative procedures performed in specialized oncology institution after previous Hartmann’s procedure performed in urgent surgical department for complicated colorectal cancer. Reconstructive restorative procedures were performed at different time after the primary operation. To assess functional state of anal sphincter all patients were adminestered sphincteromentry during the preoperative period. Morphological analysis of all tissues removed during the surgery was performed. To evaluate morphological changes of distal end of the stump at different time a histological analysis was performed. Results. According to the results of sphincterometry dynamic reduction of tonic contraction and maximum pressure of anal sphincter is observed. The more the period between Hartmann’s operation and reconstructive restorative surgery, the less pronounced muscle tone of anal sphincter. Histological studies of intestinal wall during the first 3 months after Hartmann’s surgery revealed intact quantity and size of intestinal crypts, non-significant inflammatory infiltration of mucous and submucous layers, during the period of 4 to 6 months - initial signs of diversion colitis, during the period of 7 to 12 months - atrophic changes in mucous membrane (reduction of crypts quantity, their shortening, decreased thickness of mucus), after 1 year - signs of atrophy of its submucous layer. Conclusion. Reconstructive surgery in patients with previous Hartmann’s surgery for complicated colorectal cancer should be performed in specialized departments with all modern methods of surgical, radiation and medical treatment of colon cancer available; based on functional and morphological studies the optimal time frame for reconstructive surgery is 1 to 3 months after the initial surgery.

scholarly journals LAPAROSCOPIC-ASSISTED HARTMANN'S PROCEDURE FOR COLORECTAL CANCER-INSTITUTIONAL EXPERIENCE WITH THREE CASES

2009 ◽  
Vol 70 (8) ◽  
pp. 2281-2285
Author(s):  
Jo TASHIRO ◽  
Shigeki YAMAGUCHI ◽  
Tomonori HOSONUMA ◽  
Toshimasa ISHII ◽  
Takahiro SATO ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Hartmann’S Procedure ◽  
Hartmann's Procedure ◽  
Institutional Experience ◽  
Laparoscopic Assisted
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