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Current indications for the Hartmann procedure.
Barbieux, J; Plumereau, F; Hamy, A.
Afiliação
  • Barbieux J; Service de chirurgie viscérale et endocrinienne, CHU d'Angers, 4, rue Larrey, 49100 Angers cedex 1, France. Electronic address: julienbarbieux@hotmail.com.
  • Plumereau F; Service de chirurgie viscérale et endocrinienne, CHU d'Angers, 4, rue Larrey, 49100 Angers cedex 1, France.
  • Hamy A; Service de chirurgie viscérale et endocrinienne, CHU d'Angers, 4, rue Larrey, 49100 Angers cedex 1, France.
J Visc Surg ; 153(1): 31-8, 2016 Feb.
Article em En | MEDLINE | ID: mdl-26868514
The Hartmann procedure is used in the case of left-sided colonic disease, especially in the setting of emergency where intraoperative conditions contraindicate completion of an anastomosis. This procedure has been initially described for the management of colorectal cancer and is based on a sigmoïdectomy without restoration of intestinal continuity, including a left-sided iliac terminal stoma and closure of the rectal stump. Both procedure and underlying risk factors explain high rates of mortality and morbidity, around 15 and 50% respectively, and a low overall rate of subsequent restoration of internal continuity, less than 50%. The purpose of this review was to evaluate the value of the Hartmann procedure and its equivalents in colonic surgery, according to its indications: colorectal cancer, peritonitis from diverticular disease, anastomotic complications, ischemic colitis, left-sided colonic volvulus and abdominal trauma.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reto / Colo Sigmoide / Ileostomia / Colectomia / Doenças do Colo Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: J Visc Surg Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Reto / Colo Sigmoide / Ileostomia / Colectomia / Doenças do Colo Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: J Visc Surg Ano de publicação: 2016 Tipo de documento: Article