Comparison of Conventional and Laparoscopic Hartmann's Procedure Reversal

Abstract

LHPR with a conversion rate of 14.28% seems to be a method with shorter operating time and less morbidity compared with OHPR.

Laparoscopic Hartmann’s procedure: a viable option for treatment of acutely perforated diverticultis

“…Our results compare favorably with those of other series, which report a conversion rate of 9% to 25%, a mean operative time of 158 min (range, 69-240 min), an average hospital stay of 4.2 days (range, 4-18 dyas), a surgical-site infection rate of 14%, an anastomotic leak rate of 15%, a reoperation rate of 7.1%, and a mortality rate of 2.6% to 10% [14][15][16][17][18][19][20][21][22][23][24].…”

Factors affecting reversal following Hartmann’s procedure: Experience from two district general hospitals in the UK

“…Laparoscopic Hartmann's reversal carries fewer complications than open procedures. 17,18 However, these approaches require selective application, 15 expertise not readily available in many general hospitals, prolonged anesthesia, and a reversion to the traditional approach that may be necessary if they fail. All of the current patients had open Hartmann's reversal because colorectal laparoscopic procedures had not yet been fully established at the time of the study.…”

Laparoscopic Hartmann’s procedure for fecal peritonitis resulting from perforation of the left-sided colon in elderly and severely ill patients

“…Laparoscopic HR after laparoscopic HP is undertaken with the objective of reducing high morbidity and mortality rates [4,7,8]. High success rates associated with HR can be attributed to minimal development of abdominal adhesions after the initial laparoscopic HP.…”

“…These improvements reduce the length of hospital stay [4,6]. To further reduce the morbidity, a Hartmann's reversal (HR) can be achieved laparoscopically to re-establish bowel continuity after laparoscopic HP [3,4,7,8]. The aim of our study was to evaluate the use of laparoscopic HP for fecal peritonitis arising from perforation of the left-sided colon.…”