Restoration of Digestive Continuity after Hartmann’s Procedure: ASA Score is a Predictive Factor for Risk of Postoperative Complications
| Autor: | Ch Simoens, P Mendes da Costa, N. Van De Winkel, V. Thill, S.A. Albarran |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Status medicine.medical_treatment Abdominal cavity Anastomosis Postoperative Complications Humans Medicine Risk factor Colectomy Aged Aged 80 and over business.industry Mortality rate Incidence (epidemiology) Retrospective cohort study Recovery of Function General Medicine Length of Stay Middle Aged Surgery medicine.anatomical_structure Female business Complication |
| Zdroj: | Acta Chirurgica Belgica. 109:714-719 |
| ISSN: | 0001-5458 |
| Popis: | Re-establishment of colonic continuity (RDC) following Hartmann's procedure is associated with high morbidity (anastomotic leak 4-16%) and mortality (0-4%) rates. The aim of this retrospective study was to evaluate the morbidity of RDC following Hartmann's procedure, and analyse the various factors that may influence the rate of complications.From 1996 to 2008, 158 patients were treated by Hartmann's colectomy. Hartmann's procedure is generally indicated in cases with infection in the abdominal cavity, combined with a distended or non-prepared intestine, or both. Of the 158 patients, 111 (70.3%) underwent a re-establishment of colonic continuity. The mean patient age was 63.4 years (26-91 years) ; the female/male ratio was 1:64.The mean delay between the Hartmann's procedure and the RDC was 169.7 days (21-1095 days) and the mean duration of the hospital stay was 16.7 days (8-57 days). The mortality rate was 0.9% and incidence of anastomotic stricture was 3.6%. The morbidity was 38.7%. The majority of patients presenting complications had an ASA scoreII, and most of the patients without complications were classified as ASAor = II.The RDC is an intervention performed safely after a 3 to 5-month delay with acceptable morbidity and negligible mortality. The ASA score is a determining factor for the risk of complications (p0.05). |
| Databáze: | OpenAIRE |
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