In 1923, Hartmann described an operation for cancer of the rectosigmoid area in high-risk patients not amenable to abdominoperineal resection. In the period 1972 to 1984 at the Queen Elizabeth Hospital in Montreal interest in the Hartmann procedure, with resection, end-colostomy and suture closure of the distal colon intraperitoneally, was renewed. The main indication for the procedure was diverticulitis, with cancer second. The author reviews the experience with 64 patients (average age 80 years) who underwent the Hartmann procedure. Obstruction, perforation and abscesses were the commoner indications. The mortality was 17%, but this included several patients who died from 1 to 6 months postoperatively of multiple-organ failure not necessarily related to the operation. A 30-day death rate was 8%. The complication rate was 35%. Restoration of bowel continuity (second stage) was done 2 to 3 months later in 28 cases with no deaths.
1923年，哈特曼描述了一种针对不宜进行腹会阴联合切除术的高危患者的直肠乙状结肠区癌症手术。1972年至1984年期间，蒙特利尔伊丽莎白女王医院对哈特曼手术的兴趣再度兴起，该手术包括切除、末端结肠造口术以及在腹腔内缝合闭合远端结肠。该手术的主要适应证是憩室炎，癌症次之。作者回顾了64例接受哈特曼手术患者（平均年龄80岁）的经验。梗阻、穿孔和脓肿是更常见的适应证。死亡率为17%，但这包括几名术后1至6个月死于多器官功能衰竭的患者，这些死亡不一定与手术相关。30天死亡率为8%。并发症发生率为35%。28例患者在2至3个月后进行了肠道连续性恢复（第二阶段），无死亡病例。
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