Abstract
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 postoper-atively (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).
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Schein, M., Decker, G. The Hartmann procedure. Dis Colon Rectum 31, 126–129 (1988). https://doi.org/10.1007/BF02562644
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DOI: https://doi.org/10.1007/BF02562644