Laparoscopic Hartmann Reversal: Experiences From a Developing Country

Laparoscopic surgery is considered a promising approach for Hartmann reversal but is also a complicated major surgical procedure. We conducted a retrospective analysis at a city hospital in Vietnam to evaluate the treatment technique and outcomes of laparoscopic Hartmann reversal (LHR). A colorectal...

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Bibliographic Details
Published in:Annals of coloproctology 2022, 38(4), , pp.297-300
Main Authors: Nguyen, Dung Anh, Mai-Phan, Tuong-Anh, Thai, Truc Thanh, Nguyen, Hai Van
Format: Article
Language:English
Subjects:
colostomy
hartmann procedure
laparoscopy
Original
일반외과학
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Summary:Laparoscopic surgery is considered a promising approach for Hartmann reversal but is also a complicated major surgical procedure. We conducted a retrospective analysis at a city hospital in Vietnam to evaluate the treatment technique and outcomes of laparoscopic Hartmann reversal (LHR). A colorectal surgery database in 5 years between 2015 and 2019 (1,175 cases in total) was retrieved to collect 35 consecutive patients undergoing LHR. The patients had a median age of 61 years old. The median operative time was 185 minutes. All the procedures were first attempted laparoscopically with a conversion rate of 20.0% (7 of 35 cases). There was no intraoperative complication. Postoperative mortality and morbidity were 0 and 11.4% (2 medical, 1 deep surgical site infection, and 1 anastomotic leak required reoperation) respectively. The median time to first bowel activity was 2.8 days and median length of hospital stay was 8 days. When performed by skilled surgeons, LHR is a feasible and safe operation with acceptable morbidity rate.
ISSN:2287-9714
2287-9722
DOI:10.3393/ac.2020.00577.0082