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Outcomes of Hartmann's procedure and subsequent intestinal restoration. Which patients are most likely to undergo reversal?
- Source :
- American Journal Of Surgery, r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA, instname
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Background Aim of the study was to describe characteristics and outcomes of Hartmann's procedure (HP) and subsequent intestinal restoration. Methods Retrospective study including all patients who underwent HP over a period of 16 consecutive years. We propose a classification and regression tree for a more accurate view of the relationship between the variables related to intestinal restoration and their weighting in the decision to reverse HP. Results 533 patients were included. Overall morbidity rate of HP was 53.5% and mortality 21.0%. Overall morbidity of the intestinal continuity reconstruction was 47.3% and mortality 0.9%. Patients with a benign disease, aged under 69 years and with low comorbidity, had an 84.4% probability of undergoing intestinal reconstruction. Conclusions HP is associated with high morbidity and mortality. Restoration of intestinal continuity involves minor, but frequent, morbidity and a low mortality rate. Age and comorbidities can decrease, and even override, the decision to reverse HP.
- Subjects :
- Male
medicine.medical_specialty
03 medical and health sciences
High morbidity
Colonic Diseases
0302 clinical medicine
Colon, Sigmoid
Internal medicine
Colostomy
medicine
Hartmann's procedure
Humans
Longitudinal Studies
Colectomy
Aged
Retrospective Studies
Aged, 80 and over
Proctectomy
Benign disease
business.industry
Mortality rate
Anastomosis, Surgical
Rectum
Retrospective cohort study
General Medicine
Middle Aged
medicine.disease
Comorbidity
Colon, Descending
Treatment Outcome
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Surgery
Female
business
Subjects
Details
- ISSN :
- 18791883
- Database :
- OpenAIRE
- Journal :
- American Journal Of Surgery, r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA, instname
- Accession number :
- edsair.doi.dedup.....09ea3550d2da067d86b784d6d2e45ea4