[The role of Hartmann's procedure and options for its reconstruction at the present time]. / Uloha Hartmannovej operácie a moznosti jej rekonstrukcie v súcasnosti.
Rozhl Chir
; 89(5): 293-7, 2010 May.
Article
en Sk
| MEDLINE
| ID: mdl-20666331
ABSTRACT
INTRODUCTION:
Hartmann operation (rectosigmal resection, blind closure of rectum and terminal sigmostomy) is one of the options of treatment of pathology of left colon. Despite great effort to treat such surgical conditions with primary anastomosis, Hartmann's operation is in selected cases preferred. It requires, though, secondary reconstruction, which might be associated with complications. AIM OF THE STUDY Analyzing patients after Hartmann's operations with evaluation of risk, complications, morbidity and mortality. MATERIAL ANDMETHODS:
Authors analyzed group of 61 patients, which were operated on in years 2004-2008, with Hartmann's operation performed. They state surgical conditions, Hinchey classification, risk rate according to ASA and MPI, and concommitant diseases.RESULTS:
Of complications, most frequent were wound infections and pneumonia, nine patients (14.7%) died. In presented time period, nineteen reconstructions after Hartmann's procedure were performed. Morbidity in this category was high, no death was noted. Authors analyze factors, that influence decision of operation for pathology of left colon and possibilities of reconstruction after Hartmann's procedure.CONCLUSION:
Authors state, that Hartmann's procedure has still its place in urgent operations. Reconstruction in feasible in high percentage of patients with minimal mortality, difficulty lies with high morbidity.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos del Sistema Digestivo
/
Colon
Tipo de estudio:
Prognostic_studies
Límite:
Aged
/
Female
/
Humans
/
Male
Idioma:
Sk
Revista:
Rozhl Chir
Asunto de la revista:
GINECOLOGIA
/
OBSTETRICIA
Año:
2010
Tipo del documento:
Article