scholarly journals Emergency Left Colon Resection for Acute Perforation. Primary Anastomosis or Hartmann’s Procedure? A Case-matched Control Study

2007 ◽  
Vol 31 (11) ◽  
pp. 2117-2124 ◽  
Author(s):  
Stefan Breitenstein ◽  
Armin Kraus ◽  
Dieter Hahnloser ◽  
Marco Decurtins ◽  
Pierre-Alain Clavien ◽  
...  
Keyword(s):  
Matched Control ◽  
Primary Anastomosis ◽  
Colon Resection ◽  
Left Colon ◽  
Hartmann’S Procedure ◽  
Hartmann's Procedure ◽  
Acute Perforation ◽  
Control Study

scholarly journals Operative Management and Outcomes of Patients with Sigmoid Volvulus at a Tertiary Public Hospital in Malawi

2021 ◽  
Vol 18 (3) ◽  
pp. 176-179
Author(s):  
Ephraim Bitilinyu-Bangoh ◽  
Fatsani Mwale ◽  
Loveness Ulunji Chawinga ◽  
Gift Mulima
Keyword(s):  
Hospital Stay ◽  
Anastomotic Leakage ◽  
Primary Anastomosis ◽  
Length Of Hospital Stay ◽  
Operative Management ◽  
Sigmoid Resection ◽  
Sigmoid Volvulus ◽  
Hartmann’S Procedure ◽  
Hartmann's Procedure ◽  
Kamuzu Central Hospital

Background: Sigmoid Volvulus (SV) is a common cause of acute bowel obstruction in Malawi. We aimed to  describe the surgical  management of SV and its outcomes at Kamuzu Central Hospital, Lilongwe, Malawi. Methods: We retrospectively reviewed records from January 2019 to December 2019 of all SV patients, aged 18 years and above. Data  extracted included age, sex, admission date, surgery date, bowel viability at time of surgery, procedure done, suspected anastomotic leakage, length of hospital stay and mortality. The data was analyzed using STATA 14.0. Results: There were more males (n= 59, 81.9 %) than females. The median (IQR) age was 50.5 (38-60) years. A viable sigmoid colon was present in 61 (84.7%) patients. The commonest procedures done were sigmoid  resection and primary anastomosis (RPA) (59.7%, n=43) and Hartmann’s procedure (HP) (36.1%, n=26). The median length of hospital stay was 5 days in HP, 7 days in RPA and longest in  mesosigmoidopexy (10 days). Suspected anastomotic leakage occurred in 2(4.7%) patients. The overall mortality was 6.9% with all deaths occurring in RPA patients. Conclusion: Mortality is high in SV patients who undergo RPA. We recommend Hartmann’s procedure in cases where the bowel has  significant oedema or is gangrenous.

Emergency left colon resection with primary anastomosis

1980 ◽  
Vol 23 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Bruce G. Thow
Keyword(s):  
Primary Anastomosis ◽  
Colon Resection ◽  
Left Colon

Primary anastomosis with transverse colostomy as an alternative to Hartmann's procedure

1995 ◽  
Vol 82 (2) ◽  
pp. 170-171 ◽  
Author(s):  
G. J. Maddern ◽  
Y. Nejjari ◽  
A. Dennison ◽  
F. Siriser ◽  
E. Bardoxaglou ◽  
...  
Keyword(s):  
Primary Anastomosis ◽  
Transverse Colostomy ◽  
Hartmann’S Procedure ◽  
Hartmann's Procedure
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