Henri Hartmann and the Hartmann Operation

Sanderson, Eric R.

doi:10.1001/archsurg.1980.01380060088026

Cited by 48 publications

(24 citation statements)

References 2 publications

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“…[1][2][3] It is now used in 56-70% of complex diverticular cases. 4 The UK, in particular, has a poor reversal rate, being stated as low as 18-22%.…”

mentioning

confidence: 99%

A retrospective case note review of laparoscopic versus open reversal of Hartmann’s procedure

Walklett

Yeomans

2014

annals

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11.58 days) p=0.006). Seven ORH patients (21%) were reoperated but only one LRH patient (13%) had a reoperation at six months. Five factors were found to have a significant effect on the likelihood of reversal of Hartmann's procedure. CONCLUSIONS The overall reversal rate for Hartmann's procedure remains low. Shorter hospital stays, lower 6-month reoperation rates and reduced 30-day complication rates are associated with LRH when compared with ORH.

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“…[1][2][3] It is now used in 56-70% of complex diverticular cases. 4 The UK, in particular, has a poor reversal rate, being stated as low as 18-22%.…”

mentioning

confidence: 99%

A retrospective case note review of laparoscopic versus open reversal of Hartmann’s procedure

Walklett

Yeomans

2014

annals

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“…Miles in the beginning of the 20 th century. 1 The Hartmann's procedure was first introduced by Dr. Henry Hartmann, a French surgeon, in 1921. 2 He described two patients with colonic obstruction due to a malignant tumor who were treated by resection of the obstructed colon, producing an end colostomy and leaving a rectal pouch.…”

Section: Introductionmentioning

confidence: 99%

Hartmann’s rectal stump revisited preoperative evaluation prior to reversal

et al. 2017

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Hartmann’s procedure is the gold standard surgical intervention in a variety of emergencies. Hartmann's Reversal is a complex procedure and has high rates of intra-operative and post-operative complications. There are no clear guidelines or recommendations for pre-operative evaluation of the remnant colorectal pouch prior to restoration of intestinal continuity. We present two patients who underwent Hartmann reversal. In both cases, during pre-operative endoscopic evaluation of the Hartmann colorectal pouch, a stricture was incorrectly thought to be the pouch’s blind end and the anastomosis was formed proximal to that stricture. In case 1, a partial obstruction developed that was successfully treated with endoscopic balloon dilatation. In case 2, a complete obstruction occurred, requiring emergent re-operation with formation of a bypass around the stricture. Surgeons and gastroenterologists should be aware of this diagnostic pitfall, and consider pre-operative evaluation that includes both endoscopic and radiologic evaluation in patients being considered for reversal.

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“…Emergency surgery can involve a Hartmann's procedure (HP) [17], with resection of the involved segment of bowel, oversewing of the distal rectal stump, and formation of an end colostomy. This procedure allows staged reanastomosis after complete resolution of pelvic inflammation.…”

Section: Introductionmentioning

confidence: 99%

Surgical approach of complicated diverticulitis with colovesical fistula: technical note in a particular condition

et al. 2012

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AbstractBackground: Diverticular disease of the colon is common in the Western world. With the first episode of diverticulitis, most patients will benefit from medical therapy, but in 10% to 20% of cases some complications will develop, such as intra-abdominal abscesses, obstructions, fistulas. In these conditions it is important to define the most appropriate surgical approach. Discussion: The management of diverticular disease has been successful owing to the advances in diagnostic methods, intensive care and surgical experience, but there is debate about the best treatment for some conditions. Fistulas complicating diverticulitis are the result of a localized perforation into adjacent viscera. In particular, the connection between the colon and the urinary tract is a serious anatomical abnormality that must be urgently corrected before a serious urinary infection results. Indications, timing and surgical procedures are determined by the severity of the disease and the patient’s general condition. Summary: Diverticular disease can lead to many complications. One of the most difficult to correct is an internal fistula, such as a colo-vesical fistula. The correct approach in cases where the disorder is clinically suspected has always been controversial, and the guidelines for sigmoid diverticulitis have not established the most appropriate method for diagnosis and treatment. At present, the surgical strategy for these cases requires interruption of the fistula and resection to remove the inflamed colonic segment, with or without primary anastomosis, focusing attention on the construction of the anastomosis to well vascularized and anatomically healthy tissues. It is clear, therefore, that establishing guidelines is difficult, because many pathological situations may be related to diverticulitis, and so, as our experience shows, the surgical approach has to be tailored to the patient’s general and local condition.

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Henri Hartmann and the Hartmann Operation

Cited by 48 publications

References 2 publications

A retrospective case note review of laparoscopic versus open reversal of Hartmann’s procedure

A retrospective case note review of laparoscopic versus open reversal of Hartmann’s procedure

Hartmann’s rectal stump revisited preoperative evaluation prior to reversal

Surgical approach of complicated diverticulitis with colovesical fistula: technical note in a particular condition

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