Laparoscopic and open reversal of Hartmann’s procedure—a comparative retrospective analysis

Autor: Edward H. Chin, Kaare J. Weber, Scott Q. Nguyen, Celia M. Divino, Alexander Greenstein, Aaron Lipskar, Haggi Mazeh, Kristin A. Swedish
Rok vydání: 2008
Předmět:
Zdroj: Surgical Endoscopy. 23:496-502
ISSN: 1432-2218
0930-2794
DOI: 10.1007/s00464-008-0052-4
Popis: Restoration of intestinal continuity after Hartmann’s procedure has traditionally required laparotomy. This study compares our experience with laparoscopic and open reversal of Hartmann’s procedure. All laparoscopic and open Hartmann’s reversal procedures performed between January 1998 and June 2006 were reviewed. Patients with laparoscopic reversal were retrospectively matched by age, body mass index (BMI), and indication to controls with open reversal. Demographic data, perioperative course, and postoperative complications were documented. We identified 41 patients who underwent laparoscopic reversal of Hartmann’s procedure and these were matched to 41 patients with open reversal. The groups had similar average age and BMI. The predominant indication for surgery in both groups was diverticular disease. Conversion to laparotomy occurred in eight patients (19.5%), and was due to dense adhesions or difficulty in identification of the rectal stump. Adhesions were significantly greater in the conversion group (p
Databáze: OpenAIRE
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