Reversal of the Hartmann Procedure Through Only a Stomal Orifice

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dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidSumer, Fatih/F-8042-2017
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.contributor.authorAydin, Cemalettin
dc.contributor.authorOlmez, Aydemir
dc.contributor.authorIsik, Sevil
dc.contributor.authorSumer, Fatih
dc.contributor.authorKayaalp, Cuneyt
dc.date.accessioned2024-08-04T20:32:51Z
dc.date.available2024-08-04T20:32:51Z
dc.date.issued2011
dc.departmentİnönü Üniversitesien_US
dc.description.abstractWe performed reversal of the Hartmann procedure only through the stoma site and we did not use either any other incision nor laparoscopic assistance. A total of 8 patients (7 males), ages between 23 and 80 years, were treated by means of a defined technique. The indications of the Hartmann procedure were sigmoid volvulus (4), sigmoid cancer obstruction (2), rectal trauma (1), and Fournier gangrene (one). The duration from the first procedure was a mean of 5 months (range, 2 to 8 months). The length of the rectal stump was at least 5 cm over the pelvic peritoneum and the body mass indices of all patients were less than 30 kg/m(2). The diameter of the stoma opening was a mean of 50 mm (range, 40 to 55 mm). Incision extensions from the stomal orifice (accepted as conversion) were needed for two cases as a result of injury on the intestine and inability to identify the distal bowel stump (25%). The mean operative blood loss and duration of operation were 50 mL (range, 30 to 100 mL) and 65 minutes (range, 45 to 80 minutes), respectively. Fecal discharge of all patients was weighed before hospital discharge and the length of postoperative hospital stay was a mean of 5.5 days (range, 4 to 9 days). Neither anastomosis leakage nor surgical site infections were observed in any of the patients and all had an uneventful postoperative course. The described technique can be the least invasive one than the previously described techniques for the reversal of the Hartmann procedure by only using the stoma site, particularly for nonobese patients with a long distal rectal stump.en_US
dc.identifier.endpage696en_US
dc.identifier.issn0003-1348
dc.identifier.issue6en_US
dc.identifier.pmid21679635en_US
dc.identifier.scopus2-s2.0-79958127996en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage694en_US
dc.identifier.urihttps://hdl.handle.net/11616/95350
dc.identifier.volume77en_US
dc.identifier.wosWOS:000291501400006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSoutheastern Surgical Congressen_US
dc.relation.ispartofAmerican Surgeonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keywords]en_US
dc.titleReversal of the Hartmann Procedure Through Only a Stomal Orificeen_US
dc.typeArticleen_US

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