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Surgical management of diverticulitis

The role of the Hartmann procedure

  • Published:
Diseases of the Colon & Rectum

Abstract

Presented is the authors' experience with 182 patients treated primarily by the one-stage primary resection or two-stage resection. (Hartmann operation). One hundred thirty five patients undergoing primary resection had an associated mortality rate of 2.2 per cent. Of 44 patients operated upon using the Hartmann operation for complicated diverticulitis (obstruction, perforation, abscess formation, or fistula formation) the mortality rate was 4.5 per cent. Primary resection in an elective setting is associated with the lowest mortality and morbidity; however, marked inflammation, obstruction and/or peritonitis preclude primary anastomosis. In the urgent setting the staged operation is associated with acceptable morbidity and mortality.

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Authors and Affiliations

  1. Division of Colon and Rectal Surgery, Muhlenberg Hospital, Plainfield, New Jersey

    Theodore E. Eisenstat M.D., Robert J. Rubin M.D. & Eugene P. Salvati M.D.

  2. Department of Surgery, Rutgers Medical School, Piscataway, New Jersey

    Theodore E. Eisenstat M.D., Robert J. Rubin M.D. & Eugene P. Salvati M.D.

Authors
  1. Theodore E. Eisenstat M.D.
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  2. Robert J. Rubin M.D.
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  3. Eugene P. Salvati M.D.
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Additional information

Read at the meeting of the American Society of Colon and Rectal Surgeons, May 2 to 6, 1982.

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Eisenstat, T.E., Rubin, R.J. & Salvati, E.P. Surgical management of diverticulitis. Dis Colon Rectum 26, 429–432 (1983). https://doi.org/10.1007/BF02556519

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  • DOI: https://doi.org/10.1007/BF02556519

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