Laparoscopic Reversal of Hartmann’s Procedure: State of the Art 20 Years after the First Reported Case
Introduction. Aim of the present work is to review the literature to point out the role of laparoscopic reversal of Hartmann procedure. Material and Methods. Number of patients, age, sex, etiology, Hinchey classification, interval between procedure and reversal, position of the first trocars, mean o...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/530140 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832549665506066432 |
|---|---|
| author | Adriana Toro Annalisa Ardiri Maurizio Mannino Antonio Politi Andrea Di Stefano Zia Aftab Abdelrahman Abdelaal Maria Concetta Arcerito Andrea Cavallaro Marco Cavallaro Gaetano Bertino Isidoro Di Carlo |
| author_facet | Adriana Toro Annalisa Ardiri Maurizio Mannino Antonio Politi Andrea Di Stefano Zia Aftab Abdelrahman Abdelaal Maria Concetta Arcerito Andrea Cavallaro Marco Cavallaro Gaetano Bertino Isidoro Di Carlo |
| author_sort | Adriana Toro |
| collection | DOAJ |
| description | Introduction. Aim of the present work is to review the literature to point out the role of laparoscopic reversal of Hartmann procedure. Material and Methods. Number of patients, age, sex, etiology, Hinchey classification, interval between procedure and reversal, position of the first trocars, mean operative time (min), number and causes of conversion, length of stay, mortality, complications, and quality of life were considered. Results. 238 males (52.4%) and 216 females (47.6%) between 38 and 67 years were analyzed. The etiology was diverticulitis in 292 patients (72.1%), carcinoma in 43 patients (10.6%), and other in 70 patients (17.3%). Only 7 articles (22.6%) reported Hinchey classification. The interval between initial procedure and reversal was between 50 and 330 days. The initial trocar was open positioned in 182 patients (43.2%) through umbilical incision, in 177 patients (41.9%) in right upper quadrant, and in 63 patients (14.9%) in colostomy site. The operative time was between 69 and 285 minutes. A total of 83 patients (12.1%) were converted and the causes were reported in 67.4%. The length of stay was between 3 and 12 days. 5 patients (0.7%) died. The complications concern 112 cases (16.4%). Conclusion. The laparoscopic Hartmann’s reversal is safer and achieves faster positive results. |
| format | Article |
| id | doaj-art-881218d7d68e46b59e23e325cdf7d8ae |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-881218d7d68e46b59e23e325cdf7d8ae2025-02-03T06:10:48ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/530140530140Laparoscopic Reversal of Hartmann’s Procedure: State of the Art 20 Years after the First Reported CaseAdriana Toro0Annalisa Ardiri1Maurizio Mannino2Antonio Politi3Andrea Di Stefano4Zia Aftab5Abdelrahman Abdelaal6Maria Concetta Arcerito7Andrea Cavallaro8Marco Cavallaro9Gaetano Bertino10Isidoro Di Carlo11Department of Surgery, Taormina Hospital, 98034 Messina, ItalyHepatology Unit, Department of Medical and Pediatric Science, University of Catania, 95100 Catania, ItalyDepartment of Surgical Sciences, Organ Transplantation and Advanced Technologies, University of Catania, Cannizzaro Hospital, Via Messina 829, 95100 Catania, ItalyDepartment of Surgery, Cannizzaro Hospital, 95126 Catania, ItalyDepartment of Surgery, Cannizzaro Hospital, 95126 Catania, ItalyDepartment of Surgery, Hamad General Hospital, P.O. Box 3050 Doha, QatarDepartment of Surgery, Hamad General Hospital, P.O. Box 3050 Doha, QatarEndocrine Surgical Unit, “Policlinico e Vittorio Emanuele” Hospital, University of Catania, 95100 Catania, ItalyGeneral Surgery and Senology Unit, Department of Surgery, “Policlinico e Vittorio Emanuele” Hospital, University of Catania Medical School, 95100 Catania, ItalyRadiology Unit, Guzzardi Hospital, 97019 Vittoria, ItalyHepatology Unit, Department of Medical and Pediatric Science, University of Catania, 95100 Catania, ItalyDepartment of Surgical Sciences, Organ Transplantation and Advanced Technologies, University of Catania, Cannizzaro Hospital, Via Messina 829, 95100 Catania, ItalyIntroduction. Aim of the present work is to review the literature to point out the role of laparoscopic reversal of Hartmann procedure. Material and Methods. Number of patients, age, sex, etiology, Hinchey classification, interval between procedure and reversal, position of the first trocars, mean operative time (min), number and causes of conversion, length of stay, mortality, complications, and quality of life were considered. Results. 238 males (52.4%) and 216 females (47.6%) between 38 and 67 years were analyzed. The etiology was diverticulitis in 292 patients (72.1%), carcinoma in 43 patients (10.6%), and other in 70 patients (17.3%). Only 7 articles (22.6%) reported Hinchey classification. The interval between initial procedure and reversal was between 50 and 330 days. The initial trocar was open positioned in 182 patients (43.2%) through umbilical incision, in 177 patients (41.9%) in right upper quadrant, and in 63 patients (14.9%) in colostomy site. The operative time was between 69 and 285 minutes. A total of 83 patients (12.1%) were converted and the causes were reported in 67.4%. The length of stay was between 3 and 12 days. 5 patients (0.7%) died. The complications concern 112 cases (16.4%). Conclusion. The laparoscopic Hartmann’s reversal is safer and achieves faster positive results.http://dx.doi.org/10.1155/2014/530140 |
| spellingShingle | Adriana Toro Annalisa Ardiri Maurizio Mannino Antonio Politi Andrea Di Stefano Zia Aftab Abdelrahman Abdelaal Maria Concetta Arcerito Andrea Cavallaro Marco Cavallaro Gaetano Bertino Isidoro Di Carlo Laparoscopic Reversal of Hartmann’s Procedure: State of the Art 20 Years after the First Reported Case Gastroenterology Research and Practice |
| title | Laparoscopic Reversal of Hartmann’s Procedure: State of the Art 20 Years after the First Reported Case |
| title_full | Laparoscopic Reversal of Hartmann’s Procedure: State of the Art 20 Years after the First Reported Case |
| title_fullStr | Laparoscopic Reversal of Hartmann’s Procedure: State of the Art 20 Years after the First Reported Case |
| title_full_unstemmed | Laparoscopic Reversal of Hartmann’s Procedure: State of the Art 20 Years after the First Reported Case |
| title_short | Laparoscopic Reversal of Hartmann’s Procedure: State of the Art 20 Years after the First Reported Case |
| title_sort | laparoscopic reversal of hartmann s procedure state of the art 20 years after the first reported case |
| url | http://dx.doi.org/10.1155/2014/530140 |
| work_keys_str_mv | AT adrianatoro laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase AT annalisaardiri laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase AT mauriziomannino laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase AT antoniopoliti laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase AT andreadistefano laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase AT ziaaftab laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase AT abdelrahmanabdelaal laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase AT mariaconcettaarcerito laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase AT andreacavallaro laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase AT marcocavallaro laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase AT gaetanobertino laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase AT isidorodicarlo laparoscopicreversalofhartmannsprocedurestateoftheart20yearsafterthefirstreportedcase |