Classification of Hartmann’s procedure reversal complications according to the Clavien-Dindo System
Annali Italiani di Chirurgia, cilt.93, sa.1, ss.130-134, 2022 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 93 Sayı: 1
- Basım Tarihi: 2022
- Dergi Adı: Annali Italiani di Chirurgia
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
- Sayfa Sayıları: ss.130-134
- Anahtar Kelimeler: Clavien-Dindo classification, Colostomy, Complications, Hartmann’s procedure reversal, Hartmann’s system procedure reversal EAIN
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
BACKGROUND: Hartmann’s Procedure (HP) is performed for cancer, trauma or benign diseases of the left colon. It is regarded as a solution to avoid a risky anastomosis with the intent to reverse after the diseased colon is given time to recover. This reversal has been associated with a potential morbidity and mortality. OBJECTIVES: Our objective was to investigate the complications and morbidities associated with HP reversal. METHODS: The Hartmann reversal operations performed in the general surgery department were reviewed between January 2014 and January 2018 in the Istanbul Haseki Training and Research Hospital. RESULTS: During the evaluation period, 41 patients underwent a HP reversal with the mean age of 57.45 ± 15.75 The majority of the patients were male (73%; n = 30). The overall complication rate was 44%. There were seven (17%) cases of reoperation with high-grade complications, and four (9.8%) of the patients were re-hospitalized due to complications. CONCLUSIONS: HP reversal can be considered a relatively safe operation for a selected group of patients including those with preoperative comorbidities, yielding an anastomotic leakage rate of 7.3% and a hospital readmission rate of less than 10%. The repair of an incisional hernia at the same time does not increase the complication rate. D-ONLY CG PROHIB.