- •The 2016–2019 ACS-NSQIP datasets were queried to compare Hartmann's reversal (HR) and elective left colectomy (LC) outcomes.
- •HR is associated with longer operative time and higher rates of open operation and concurrent diverting ileostomy than LC.
- •HR is associated with longer hospital stay, higher reoperation rate, and higher rate of postoperative complications than LC.
- •Optimization of modifiable risk factors and adequate discourse of expectations may help reduce adverse outcomes.
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
- Hartmann's procedure, reversal and rate of stoma-free survival.Ann R Coll Surg Engl. 2018; 100: 301-307https://doi.org/10.1308/rcsann.2018.0006
- Considerations for Hartmann's reversal and Hartmann's reversal outcomes—a multicenter study.Int J Colorectal Dis. 2017; 32: 1577-1582https://doi.org/10.1007/s00384-017-2897-2
- Reversal of hartmann's procedure: still a complicated operation.Tech Coloproctol. 2017; 22: 81-87https://doi.org/10.1007/s10151-017-1735-4
- Conventional and laparoscopic reversal of the hartmann procedure: a review of literature.J Gastrointest Surg. 2010; 14: 743-752https://doi.org/10.1007/s11605-009-1084-3
- American College of surgeons.
- Hartmann's reversal is associated with high postoperative adverse events.Dis Colon Rectum. 2005; 48: 2117-2126https://doi.org/10.1007/s10350-005-0168-8
- Hartmann's operation: how often is it reversed and at what cost? A multicentre study.Colorectal Dis. 2011; 13: e396-e402https://doi.org/10.1111/j.1463-1318.2011.02738.x
- Identification of risk factors for morbidity and mortality after Hartmann's reversal surgery – a retrospective study from two French centers.Sci Rep. 2020; 10https://doi.org/10.1038/s41598-020-60481-w
- Efficacy of laparoscopic-assisted approach for reversal of Hartmann's procedure: results from the American College of surgeons national surgical quality improvement program (ACS-NSQIP) database.Surg Endosc. 2015; 29: 2109-2114https://doi.org/10.1007/s00464-014-3926-7
- Hartmann's reversal: factors affecting complications and outcomes.Int J Colorectal Dis. 2020; 35: 1875-1880https://doi.org/10.1007/s00384-020-03653-4
- Correlation between ASA Grade with reversal of Hartmann's procedure - a retrospective study.J Med Life. 2021; 14: 756-761https://doi.org/10.25122/jml-2020-0158
- Diverting ileostomy in colorectal surgery: when is it necessary?.Langenbeck's Arch Surg. 2015; 400: 145-152https://doi.org/10.1007/s00423-015-1275-1
- Loop ileostomy reversal after colon and rectal surgery: a single institutional 5-year experience in 944 patients.Arch Surg. 2011; 146: 1191-1196https://doi.org/10.1001/archsurg.2011.234
- Risk factors and consequences of anastomotic leak after colectomy.Dis Colon Rectum. 2015; 58: 333-338https://doi.org/10.1097/dcr.0000000000000249