Comparison of Conventional and Laparoscopic Hartmann's Procedure Reversal

Purpose This study compares open Hartmann's procedure reversal (OHPR) and laparoscopic Hartmann's procedure reversal (LHPR) in patients first treated for peritonitis (Henchey III or IV). Methods Fourteen patients who underwent LHPR during a 2-year period were compared with 20 patients who had previously undergone an open procedure at the same institution. Results Conversion rate was 14.28%. Operating time was shorter for the laparoscopic group [143 (90 to 240) vs. 180 (90 to 350) min, P<0.05]. Hospital length of stay was shorter for the laparoscopic group [9.5 (4 to 18) vs. 11 (6 to 39)]. Use of patient-controlled analgesia was not significantly shorter in the laparoscopic group [3 (0 to 4) vs. 3.5 (0 to 8)]. Morbidities observed in the LHPR group include a parietal abscess and an anastomotic stenosis without surgical treatment. The OHPR group had 6 complications: 1 anastomotic leak and 5 incisional hernias. Conclusions LHPR with a conversion rate of 14.28% seems to be a method with shorter operating time and less morbidity compared with OHPR.

[1]  V. Golash.  Laparoscopic reversal of Hartmann procedure , 2006, Journal of minimal access surgery.

[2]  M. Rosen,et al.  Laparoscopic restoration of intestinal continuity after Hartmann's procedure. , 2005, American journal of surgery.

[3]  C. Ko,et al.  What Proportion of Patients with an Ostomy (for Diverticulitis) Get Reversed? , 2004, The American surgeon.

[4]  E. Haglind,et al.  Randomized clinical trial of the costs of open and laparoscopic surgery for colonic cancer , 2004, The British journal of surgery.

[5]  K. Moorthy,et al.  Factors that predict conversion in patients undergoing laparoscopic surgery for Crohn's disease. , 2004, American journal of surgery.

[6]  A. Senagore,et al.  Operative blood loss and use of blood products after laparoscopic and conventional open colorectal operations. , 2004, Archives of surgery.

[7]  J. Fleshman,et al.  Laparoscopic resection of colon Cancer: Consensus of the European Association of Endoscopic Surgery (EAES) , 2004, Surgical Endoscopy And Other Interventional Techniques.

[8]  J. Paige,et al.  Impact of socioeconomic deprivation and primary pathology on rate of reversal of Hartmann's procedure. , 2003, American journal of surgery.

[9]  A. Senagore,et al.  Case-Matched Comparison of Clinical and Financial Outcome After Laparoscopic or Open Colorectal Surgery , 2003, Annals of surgery.

[10]  C. Schlachta,et al.  Predicting conversion in laparoscopic colorectal surgery. Fellowship training may be an advantage. , 2003, Surgical endoscopy.

[11]  S. Vickers,et al.  Laparoscopic vs conventional ileocolectomy for primary Crohn disease. , 2003, Archives of surgery.

[12]  S. Ohashi,et al.  Is laparoscopic colorectal surgery less invasive than classical open surgery? Quantitation of physical activity using an accelerometer to assess postoperative convalescence , 2003, Surgical Endoscopy And Other Interventional Techniques.

[13]  C. Klaiber,et al.  [Trocar site hernias. A rare but potentially dangerous complication of laparoscopic surgery]. , 2002, Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen.

[14]  C. Klaiber,et al.  Trokarhernien Eine seltene, potenziell gefährliche Komplikation nach laparoskopischen Eingriffen , 2002, Der Chirurg.

[15]  D. Winter,et al.  Laparoscopically Assisted Reversal of Hartmann's Procedure Revisited , 2002, Surgical laparoscopy, endoscopy & percutaneous techniques.

[16]  Conor P. Delaney,et al.  Advantages of Laparoscopic Resection for Ileocecal Crohn’s Disease , 2002, Diseases of the colon and rectum.

[17]  J. Domergue,et al.  Rétablissement de la continuité digestive après intervention de Hartmann par voie laparoscopique. Étude rétrospective de la Société française de chirurgie endoscopique (SFCE) , 2002 .

[18]  C. Vacher,et al.  [Laparoscopic re-establishment of digestive continuity following Hartmann's procedure. Retrospective study of the French Society of Endoscopic Surgery]. , 2002, Annales de chirurgie.

[19]  S. Msika,et al.  Can laparoscopy reduce hospital stay in the treatment of crohn's disease? , 2001, Diseases of the colon and rectum.

[20]  R. Galleano,et al.  Laparoscopic-assisted Hartmann's reversal with the Dexterity® Pneumo Sleeve™ , 2000, Diseases of the colon and rectum.

[21]  E. Weiss,et al.  Comparison of laparoscopically assisted and conventional ileocolic resection for Crohn's disease. , 2000, The European journal of surgery = Acta chirurgica.

[22]  F. DelgadoGomis,et al.  Laparoscopic reconstruction of intestinal continuity following Hartmann's procedure. , 1998 .

[23]  J. Martin Delgado,et al.  Laparoscopic reconstruction of intestinal continuity following Hartmann's procedure. , 1998, Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva.

[24]  H. Troidl,et al.  Laparoscopic colorectal resection for diverticulitis , 1998, International Journal of Colorectal Disease.

[25]  D. Hansell,et al.  Laparoscopic-assisted reversal of Hartmann's procedure: a simplified technique and audit of twelve cases. , 1996, Journal of laparoendoscopic surgery.

[26]  A. Nicodemo,et al.  Laparoscopically assisted colorectal anastomose post-Hartmann's procedure. , 1996, Surgical laparoscopy & endoscopy.

[27]  A. Vernava,et al.  Laparoscopic restoration of intestinal continuity after Hartmann procedure. , 1995, Surgical laparoscopy & endoscopy.

[28]  S. Wigmore,et al.  Restoration of intestinal continuity following Hartmann's procedure: The Lothian experience 1987–1992 , 1995, The British journal of surgery.

[29]  W. Joyce.  Restoration of intestinal continuity following Hartmann's procedure: the Lothian experience 1987-1992. , 1995, The British journal of surgery.

[30]  M. Mckenney,et al.  Laparoscopic-assisted colostomy closure after Hartmann's procedure , 1994, Diseases of the colon and rectum.

[31]  D. Fowler,et al.  Laparoscopic colostomy closure. , 1993, Surgical laparoscopy & endoscopy.

[32]  S. Karran,et al.  Timing and method of reversal of Hartmann's procedure , 1992, The British journal of surgery.