Sturniolo G, Versace P, Tonante A, Lentini B, Gagliano E
Istituto di discipline chirurgiche generali e speciali, Università degli studi di Messina.
Ann Ital Chir. 1992 Jul-Aug;63(4):495-8; discussion 498-9.
The authors report a case of a surgical intestinal recanalization after 16 years since a Hartmann's intervention. After some considerations on the results they obtained in similar cases, the Authors call attention on this specific clinical case. They come to the conclusion that a successful surgical recanalization--although the difficult availability of the remaining rectal stump--is possible even if a long period has passed since a Hartmann's intervention was performed. In fact the rectal stump and the sphincter apparatus, even if excluded from the fecal transit for a long while, retain largely their specific functional activities and show a marked ability for an effective sensitive-motor restoration.
作者报告了一例在哈特曼手术16年后进行肠道再通手术的病例。在对类似病例所取得的结果进行一些思考后，作者提请关注这一特定临床病例。他们得出的结论是，尽管剩余直肠残端难以获取，但即使自哈特曼手术实施以来已经过去了很长时间，成功的手术再通仍是可能的。事实上，直肠残端和括约肌装置即使在很长一段时间内被排除在粪便传输之外，仍在很大程度上保留其特定的功能活动，并显示出显著的有效感觉运动恢复能力。
