The Time Interval and Treatment Outcomes of Hartmann's Reversal Procedure

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  • Nagamori Masakazu
    Department of Surgery, Saitama Medical Center, Jichi Medical University
  • Tsujinaka Shingo
    Department of Surgery, Saitama Medical Center, Jichi Medical University
  • Maemoto Ryo
    Department of Surgery, Saitama Medical Center, Jichi Medical University
  • Kimura Yasuaki
    Department of Surgery, Saitama Medical Center, Jichi Medical University
  • Tamaki Sawako
    Department of Surgery, Saitama Medical Center, Jichi Medical University
  • Hatsuzawa Yuuri
    Department of Surgery, Saitama Medical Center, Jichi Medical University
  • Takahashi Rei
    Department of Surgery, Saitama Medical Center, Jichi Medical University
  • Kakizawa Nao
    Department of Surgery, Saitama Medical Center, Jichi Medical University
  • Miyakura Yasuyuki
    Department of Surgery, Saitama Medical Center, Jichi Medical University
  • Rikiyama Toshiki
    Department of Surgery, Saitama Medical Center, Jichi Medical University

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Other Title
  • ハルトマンリバーサル手術におけるインターバル期間と治療成績の検討

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Abstract

<p>Objective: There is no consensus on the appropriate timing of undergoing Hartmann's reversal surgery (HR) after Hartmann's procedure (HP). This study aimed to investigate the association between the time interval (TI) from HP to HR and the treatment outcomes of HR.</p><p>Methods: We retrospectively reviewed 32 cases of HR from September 2009 to December 2021. Patient characteristics, TI from HP to HR, perioperative factors during HP and HR, and their association with treatment outcomes were evaluated.</p><p>Results: The median TI was 6 months. Postoperative complications (Clavien-Dindo classification ≥ Grade III) occurred in six patients (19%). Patient characteristics and perioperative factors during HP and HR were similar between the TI≤6 month and TI＞6 month groups. The TI＞6 month group had more patients with two or more comorbidities compared with the TI≤6 month group. The treatment outcomes did not differ between the two groups.</p><p>Conclusion: TI over 6 months from HP to HR did not improve the treatment outcomes of HR.</p>

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