Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
-
Multicenter Study
Surgical outcome in patients undergoing reversal of Hartmann's procedures: a multicentre study.
Recent evidence has suggested that a laparoscopic rather than an open approach to reversal of Hartmann's procedure (ROH) may be associated with fewer complications. Much of the data for comparison are historical or based on small case series. The aims of this study were to determine the morbidity and mortality of ROH in 10 hospitals in the modern era and to identify risk factors for complications. ⋯ ROH has a low postoperative mortality but significant morbidity. Most operations are still performed by open surgery, and in those attempted laparoscopically, the conversion rate is high.