Ann Ital Chir. 2022;92:130-134.
Hartmann's Procedure (HP) is performed for cancer, trauma or benign diseases of the left colon. It is regarded as a solution to avoid a risky anastomosis with the intent to reverse after the diseased colon is given time to recover. This reversal has been associated with a potential morbidity and mortality.
Our objective was to investigate the complications and morbidities associated with HP reversal.
The Hartmann reversal operations performed in the general surgery department were reviewed between January 2014 and January 2018 in the Istanbul Haseki Training and Research Hospital.
During the evaluation period, 41 patients underwent a HP reversal with the mean age of 57.45 ± 15.75 The majority of the patients were male (73%; n = 30). The overall complication rate was 44%. There were seven (17%) cases of reoperation with high-grade complications, and four (9.8%) of the patients were re-hospitalized due to complications.
HP reversal can be considered a relatively safe operation for a selected group of patients including those with preoperative comorbidities, yielding an anastomotic leakage rate of 7.3% and a hospital readmission rate of less than 10%. The repair of an incisional hernia at the same time does not increase the complication rate.
Complications, Colostomy, Clavien-Dindo classification, Hartmann's procedure reversal, Hartmann's system procedure reversal.
Hartmann 手术（HP）用于治疗左半结肠的癌症、创伤或良性疾病。它被认为是一种避免高风险吻合术的解决方案，目的是在患病结肠有时间恢复后再进行逆转。这种逆转可能会导致一定的发病率和死亡率。
我们的目的是研究与 HP 逆转相关的并发症和发病率。
在伊斯坦布尔哈塞基培训和研究医院普外科，我们对 2014 年 1 月至 2018 年 1 月期间进行的 Hartmann 逆转手术进行了回顾性研究。
在评估期间，有 41 名患者接受了 HP 逆转手术，平均年龄为 57.45 ± 15.75 岁。大多数患者为男性（73%；n = 30）。总体并发症发生率为 44%。有 7 例（17%）发生了再手术，且并发症为高级别，4 例（9.8%）因并发症而再次住院。
HP 逆转术对于包括术前合并症在内的特定患者群体来说可以被视为一种相对安全的手术，吻合口漏的发生率为 7.3%，住院再入院率低于 10%。同时修复切口疝不会增加并发症的发生率。
并发症、结肠造口术、Clavien-Dindo 分级、Hartmann 手术逆转、Hartmann 系统手术逆转。
