{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T23:47:32Z","timestamp":1778629652949,"version":"3.51.4"},"reference-count":36,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2005]]},"abstract":"<jats:p>&lt;i&gt;Background:&lt;\/i&gt; Although evidence is growing that most patients who need an operation for diverticular disease of the sigmoid colon can be treated by a single-stage procedure, a two-stage procedure will still be necessary in some patients because of significant sepsis or technical difficulties. The outcomes of 65 patients who underwent secondary restoration after a Hartmann procedure for complicated diverticulitis were studied and the factors leading to complications and mortality were identified. &lt;i&gt;Patients and Methods:&lt;\/i&gt; Of 91 patients, in a consecutive 12-year period, whose primary operation was a Hartmann procedure, 72 survived longer than 3 months after discharge. Sixty-five underwent an attempted reversal of the Hartmann procedure. The POSSUM scores were calculated in all patients as well as the morbidity and mortality rates. &lt;i&gt;Results:&lt;\/i&gt; In 63 (96.9%) patients the bowel continuity could be restored with a morbidity of 38.5% and a mortality of 3.1%. The POSSUM and p-POSSUM scores adequately predicted the mortality in this series. &lt;i&gt;Conclusion:&lt;\/i&gt; This series shows that when surgical treatment for complicated diverticular disease of the sigmoid colon is necessary, the Hartmann procedure is still a valid indication. In a high percentage of patients the Hartmann procedure could be restored with a low mortality.<\/jats:p>","DOI":"10.1159\/000091444","type":"journal-article","created":{"date-parts":[[2006,2,13]],"date-time":"2006-02-13T09:25:00Z","timestamp":1139822700000},"page":"419-425","source":"Crossref","is-referenced-by-count":27,"title":["Reversal of Hartmann\u2019s Procedure after Surgery for Complications of Diverticular Disease of the Sigmoid Colon Is Safe and Possible in Most Patients"],"prefix":"10.1159","volume":"22","author":[{"given":"J.L.T.","family":"Oomen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.A.","family":"Cuesta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.F.","family":"Engel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2006,4,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016%2FS0889-8553%2805%2970191-6"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1136%2Fbmj.4.5684.639"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.2002.02195.x"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.1997.02620.x"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007%2FBF02237300"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097%2F00042737-200012060-00016"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10350-004-6335-5"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016%2FS0002-9610%2805%2980203-X"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.1800810537"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007%2FBF02234569"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016%2FS0002-9610%2802%2900830-9"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1001%2Farchsurg.135.5.558"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.1800600909"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.1800770927"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007%2FBF00337588"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.1997.02566.x"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.2001.01748.x"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.1800820110"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016%2FS0002-9610%2897%2900272-9"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.1800691007"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1007%2FBF02048162"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1445-2197.1987.tb01273.x"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.2000.01556.x"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.1800780327"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.4041"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.4037"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.1800830628"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.1998.00840.x"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.4347"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.4515"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.4465"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1002%2Fbjs.1800711202"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1007%2FBF02258291"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.1998.00526.x"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1097%2F00005650-199707000-00004"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1007%2Fs10350-004-0701-1"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/91444","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/91444","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T02:54:30Z","timestamp":1745463270000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000091444"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005]]},"references-count":36,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2006,4,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000091444","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"value":"0253-4886","type":"print"},{"value":"1421-9883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005]]}}}