{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:05:35Z","timestamp":1791561935232,"version":"4.3.4"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2005,6,8]],"date-time":"2005-06-08T00:00:00Z","timestamp":1118188800000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2005,6]]},"abstract":"<jats:p><jats:bold>Background:\u2003<\/jats:bold> With more and more centres worldwide resorting to primary anastomosis for most left sided colonic pathology, the place for a Hartmann procedure seems to be relegated to surgical history books. However, in our centre it is still being performed on a regular basis. As such, we decided to retrospectively look at our results for the procedure.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> All hospital records of patients undergoing the Hartmann procedure between January 1998 and December 2001 were retrospectively analysed looking at demographics, comorbidities and indications of the procedure.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> There were 52 men and 33 women with a median age of 69\u2003years (range 31\u201396\u2003years). Sixty\u2010six per cent of the patients had medical comorbidities at the time of the operation. The indications for performing the procedure were: 45 patients for cancer (31 patients for obstruction, 11 patients for perforation, two patients for fistulation to other organs and one for uncontrollable bleeding). 19 patients had the procedure for complicated diverticulitis while four patients had anastomotic leaks, which required conversion to the procedure. Other indications include trauma (four patients), ischemic bowel (six patients) and iatrogenic (one patient). Our median operating time was 160\u2003min (range 50\u2013415\u2003min). Our reversal rate was 32%. Our mortality rate for the first stage was 16% and our morbidity, 51%. The morbidity for the reversal was 29%, with no mortalities.<\/jats:p><jats:p><jats:bold>Conclusion:\u2003<\/jats:bold> Though the idea of primary anastomosis with on table lavage for left sided anastomosis seems attractive, we think the Hartmann procedure is still useful for selected patients.<\/jats:p>","DOI":"10.1111\/j.1445-2197.2005.03367.x","type":"journal-article","created":{"date-parts":[[2005,6,8]],"date-time":"2005-06-08T13:45:24Z","timestamp":1118238324000},"page":"436-440","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["HARTMANN PROCEDURE: IS IT STILL RELEVANT TODAY?"],"prefix":"10.1111","volume":"75","author":[{"given":"Dee Wern","family":"Seah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salleh","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khoon Hean","family":"Tay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,6,8]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"Chirurgi du Rectum","author":"Hartmann H","year":"1921"},{"key":"e_1_2_7_3_2","first-page":"94","article-title":"The surgical treatment of diverticulitis of the colon","volume":"132","author":"Boyden AM","year":"1950","journal-title":"Ann. 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