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The Hartmann procedure. First choice or last resort in diverticular disease?

Authors
  • Belmonte, C
  • Klas, J V
  • Perez, J J
  • Wong, W D
  • Rothenberger, D A
  • Goldberg, S M
  • Madoff, R D
Type
Published Article
Journal
Archives of Surgery
Publisher
American Medical Association
Publication Date
Jun 01, 1996
Volume
131
Issue
6
Identifiers
PMID: 8645067
Source
Medline
License
Unknown

Abstract

Primary resection is virtually always possible in complicated diverticular disease. Primary anastomosis, with or without proximal diversion, is safe for patients with no abscesses or localized abscesses and should be considered on an individual basis for patients with pelvic abscesses and peritonitis. Colostomy closure after the Hartmann procedure is associated with significant length of hospitalization and morbidity and leaves one third of patients with permanent stomas.

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