Akıncı Ozan, Yurdacan Müge, Turgut Başar Can, Uludağ Server Sezgin, Şimşek Osman
Department of General Surgery, Hakkari State Hospital, Hakkari-Turkey.
Department of General Surgery, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul-Turkey.
Ulus Travma Acil Cerrahi Derg. 2020 Mar;26(2):255-259. doi: 10.14744/tjtes.2019.71725.
This study evaluated the outcome of the reversal of Hartmann's procedure based on preoperative and intraoperative risk factors.
We retrospectively reviewed 78 cases, whom we applied the Hartmann's procedure either electively or under emergency conditions in our clinic between the years 2010 and 2016.
Of the cases reviewed in this study, 45 patients were males, and 33 patients were females. Of all cases included in this study, 32 cases were operated due to malignancies, 15 cases were operated due to a perforated diverticulum, and 11 cases were operated due to sigmoid volvulus. Reversal of Hartmann's was performed in 32 cases. The morbidity and mortality rates for the reversal of Hartmann's procedure were 37.5% and 0.0%,respectively.
The reversal of Hartmann's procedure appears to be a safe operation with acceptable morbidity rates. If the correct patient selection, correct operation timing and meticulous surgical preparation are performed, the risk of morbidity and mortality of the reversal of Hartmann's procedure can be minimized.
本研究基于术前和术中危险因素评估了哈特曼手术（Hartmann's procedure）回纳术的结果。
我们回顾性分析了2010年至2016年间在我们诊所择期或急诊行哈特曼手术的78例患者。
本研究纳入的病例中，男性45例，女性33例。本研究纳入的所有病例中，32例因恶性肿瘤手术，15例因憩室穿孔手术，11例因乙状结肠扭转手术。32例行哈特曼手术回纳术。哈特曼手术回纳术的发病率和死亡率分别为37.5%和0.0%。
哈特曼手术回纳术似乎是一种安全的手术，发病率可接受。如果进行正确的患者选择、正确的手术时机及细致的手术准备，哈特曼手术回纳术的发病和死亡风险可降至最低。
