Classification of Hartmann's procedure reversal complications according to the Clavien-Dindo System.

Autor:	Hut A, Akturk OM, Cakir M
Jazyk:	angličtina
Zdroj:	Annali italiani di chirurgia [Ann Ital Chir] 2022; Vol. 92, pp. 130-134.
Abstrakt:	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. Key Words: Complications, Colostomy, Clavien-Dindo classification, Hartmann's procedure reversal, Hartmann's system procedure reversal.
Databáze:	MEDLINE
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