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2006, Number 5

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Cir Cir 2006; 74 (5)

Morbi-mortality of Hartmann’s reversal procedure

Takahashi-Monroy T, Velasco L, Morales-Olivera JM

Language: Spanish
References: 26
Page: 329-333
PDF size: 47.37 Kb.


ABSTRACT

Background: Hartmann’s operation is an alternative for emergency colorectal surgeries, but its reversal may be difficult and prone to complications. A longer interval for its reversal has been recommended to decrease complications.
Methods: In order to determine rates of morbi-mortality and to ascertain the association between the time interval for its reversal and presence of complications, we undertook a retrospective analysis of 48 patients with a mean age of 57 ± 16 years. Nineteen patients (40%) were › 65 years, and 21 (44%) had one or more underlying chronic disease. Perioperative factors associated with morbi-mortality were determined by means of the Mann-Whitney U test and Fisher exact test.
Results: Acute diverticulitis was the most frequent indication (42%). Mean interval between Hartmann’s operation and its reversal was 8 months (range: 1 to 46 months). Mean duration of the reversal operation was 267 min (range: 120 to 540 min). There were complications in 29 patients (60%) including anastomotic leaks in 6 (12%) and operative deaths in 4 (8%). A shorter interval between Hartmann’s operation and its reversal was not associated with more complications or longer surgical time.
Conclusions: Hartmann’s reversal operation has high rates of morbidity and mortality that are not influenced by the time interval from the original operation.


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