Surgical Outcomes of Open and Laparoscopic Hartmann Reversal: A Single-Center Comparative Study

Hartmann reversal (HR) is challenging and traditionally requires a large laparotomy wound. With the development of minimally invasive techniques, laparoscopic reversal of Hartmann's operation (HO) was attempted. We aimed to evaluate the outcomes of laparoscopic Hartmann reversal (LHR) versus op...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-08, Vol.16 (8), p.e67102
Main Authors: Tsai, Mu-Han, Chen, Ming-Jenn, Ong, Khaa-Hoo, Lu, Chih-Ying, Ho, Chung-Han, Huang, Hsuan-Yi, Tian, Yu-Feng, Yang, I-Ning
Format: Article
Language:English
Subjects:
Abdomen
Autoimmune diseases
Body mass index
Cardiovascular disease
Colon
Diabetes
Gender
General Surgery
Hospitals
Immune system
Kidney diseases
Laparoscopy
Length of stay
Liver cirrhosis
Mann-Whitney U test
Medical personnel
Ostomy
Patients
Pelvis
Surgeons
Surgery
Surgical anastomosis
Surgical outcomes
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Summary:Hartmann reversal (HR) is challenging and traditionally requires a large laparotomy wound. With the development of minimally invasive techniques, laparoscopic reversal of Hartmann's operation (HO) was attempted. We aimed to evaluate the outcomes of laparoscopic Hartmann reversal (LHR) versus open Hartmann reversal (OHR). In this study, we included 33 patients who underwent HR at Chi Mei Medical Center between January 2015 and March 2023. Ten patients received LHR, while 23 received OHR. We compared patient demographics, perioperative outcomes, early postoperative complications, and late postoperative complications between the two groups. There was no significant difference in the baseline demographics of both groups. Compared to the open method, the LHR group had a shorter hospital stay and time to solid diet. The median length of hospital stay in the OHR and LHR groups was 15.00 (Q1-Q3: 13.00-16.00) and 11.5 (Q1-Q3: 10.00-14.00) days (p = 0.028), respectively. The median time to solid diet was 8.00 (Q1-Q3: 7.00-8.00) days in the OHR group and 5.00 (Q1-Q3: 5.00-7.00) days in the LHR group (p = 0.022). No statistical significance between the groups was noticed in early and late postoperative complications. Whether using a laparoscopic or an open method, HR is challenging. In our study, patients who underwent LHR were associated with reduced hospital stays and faster bowel movements.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.67102