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Factors Predicting the Reversal of Hartmann's Procedure

AIM: This paper investigates the risk factors preventing the reversal and nonreversal of Hartmann's procedure, as a surgical technique that has been performed in our clinic for ten years. METHODS: The study involved a ten-year Hartmann's procedure followed up at our center. The patients we...

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Autores principales: Yalkın, Ömer, Altıntoprak, Fatih, Uzunoğlu, Mustafa Yener, Yıldız, Yasin Alper, Kamburoğlu, Muhammet Burak, Fırat, Necattin, Çelebi, Fehmi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9273434/
https://www.ncbi.nlm.nih.gov/pubmed/35832842
http://dx.doi.org/10.1155/2022/7831498
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author Yalkın, Ömer
Altıntoprak, Fatih
Uzunoğlu, Mustafa Yener
Yıldız, Yasin Alper
Kamburoğlu, Muhammet Burak
Fırat, Necattin
Çelebi, Fehmi
author_facet Yalkın, Ömer
Altıntoprak, Fatih
Uzunoğlu, Mustafa Yener
Yıldız, Yasin Alper
Kamburoğlu, Muhammet Burak
Fırat, Necattin
Çelebi, Fehmi
author_sort Yalkın, Ömer
collection PubMed
description AIM: This paper investigates the risk factors preventing the reversal and nonreversal of Hartmann's procedure, as a surgical technique that has been performed in our clinic for ten years. METHODS: The study involved a ten-year Hartmann's procedure followed up at our center. The patients were divided into Hartmann reversal and nonreversal groups. Groups were examined in terms of age, gender, diagnosis, stage of malignancy, ASA score, comorbidity, perioperative morbidity-mortality, and the length of the operation. RESULTS: Age (p < 0.001), ASA score (p < 0.001), stage in case of malignancy (p = 0.002), and comorbidities (p < 0.001) were significant risk factors. The ratio of patients without any comorbidities to those with one or more comorbidities was 2.63 (95% CI 1.12–6.20). Among the malignant patients, the ratio of early-stage patients to advanced-stage patients in the group with reversal of Hartmann's colostomy was 2.82 (95% CI 1.30–6.10). In addition, the ratio of older patients to younger patients in group 2 was 0.95 (95% CI 0.92–0.98). A univariate analysis revealed that younger patients, those with lower ASA scores, those without comorbidities, and those with early-stage malignancy had a greater chance of closure of the stoma. CONCLUSION: Although Hartmann's procedure is performed in emergency surgery, the nonreversal of the colostomy is a problem in itself. It should be kept in mind that patients who have high risks are likely to have a permanent stoma.
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spelling pubmed-92734342022-07-12 Factors Predicting the Reversal of Hartmann's Procedure Yalkın, Ömer Altıntoprak, Fatih Uzunoğlu, Mustafa Yener Yıldız, Yasin Alper Kamburoğlu, Muhammet Burak Fırat, Necattin Çelebi, Fehmi Biomed Res Int Research Article AIM: This paper investigates the risk factors preventing the reversal and nonreversal of Hartmann's procedure, as a surgical technique that has been performed in our clinic for ten years. METHODS: The study involved a ten-year Hartmann's procedure followed up at our center. The patients were divided into Hartmann reversal and nonreversal groups. Groups were examined in terms of age, gender, diagnosis, stage of malignancy, ASA score, comorbidity, perioperative morbidity-mortality, and the length of the operation. RESULTS: Age (p < 0.001), ASA score (p < 0.001), stage in case of malignancy (p = 0.002), and comorbidities (p < 0.001) were significant risk factors. The ratio of patients without any comorbidities to those with one or more comorbidities was 2.63 (95% CI 1.12–6.20). Among the malignant patients, the ratio of early-stage patients to advanced-stage patients in the group with reversal of Hartmann's colostomy was 2.82 (95% CI 1.30–6.10). In addition, the ratio of older patients to younger patients in group 2 was 0.95 (95% CI 0.92–0.98). A univariate analysis revealed that younger patients, those with lower ASA scores, those without comorbidities, and those with early-stage malignancy had a greater chance of closure of the stoma. CONCLUSION: Although Hartmann's procedure is performed in emergency surgery, the nonreversal of the colostomy is a problem in itself. It should be kept in mind that patients who have high risks are likely to have a permanent stoma. Hindawi 2022-07-04 /pmc/articles/PMC9273434/ /pubmed/35832842 http://dx.doi.org/10.1155/2022/7831498 Text en Copyright © 2022 Ömer Yalkın et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Yalkın, Ömer
Altıntoprak, Fatih
Uzunoğlu, Mustafa Yener
Yıldız, Yasin Alper
Kamburoğlu, Muhammet Burak
Fırat, Necattin
Çelebi, Fehmi
Factors Predicting the Reversal of Hartmann's Procedure
title Factors Predicting the Reversal of Hartmann's Procedure
title_full Factors Predicting the Reversal of Hartmann's Procedure
title_fullStr Factors Predicting the Reversal of Hartmann's Procedure
title_full_unstemmed Factors Predicting the Reversal of Hartmann's Procedure
title_short Factors Predicting the Reversal of Hartmann's Procedure
title_sort factors predicting the reversal of hartmann's procedure
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9273434/
https://www.ncbi.nlm.nih.gov/pubmed/35832842
http://dx.doi.org/10.1155/2022/7831498
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