The Hartmann procedure. Extended indications in severe intra-abdominal infection
| Autor: | G. A. G. Decker, Moshe Schein |
|---|---|
| Rok vydání: | 1988 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Colon Diverticulitis Colonic Colostomy Carcinoma medicine Humans Surgical Wound Infection In patient Intra-Abdominal Infection Aged Abdomen Acute Aged 80 and over Laparotomy Hartmann pouch business.industry Gastroenterology General Medicine Middle Aged medicine.disease Wound infection Colorectal surgery Surgery Colonic Neoplasms Diverticular disease Female business Mucous fistula |
| Zdroj: | Diseases of the colon and rectum. 31(2) |
| ISSN: | 0012-3706 |
| Popis: | During a three-year period, 30 patients had emergency Hartmann procedures for diverticular disease (N = 12), carcinoma (N = 6), trauma (N = 3), and miscellaneous causes (N = 9). Two patients died postoperatively (6.7 percent) and wound infection developed in 60 percent of the patients. Planned relaparotomies for severe intra-abdominal infection were performed in ten patients (an average of 2.5 procedures per patient) with no mortality. In five cases a mucous fistula was converted into a Hartmann pouch; a preference for the Hartmann pouch in patients undergoing repeated explorations is discussed. Colorectal continuity was subsequently restored in 23 patients (76.6 percent). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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