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HARTMANN'S PROCEDURE FOR CARCINOMA OF THE RECTUM AND SIGMOID COLON
Author(s) -
Adams W. J.,
Mann L. J.,
Bokey E. L.,
Chapuis P. H.,
Koorey S. G.,
Hughes W. J.
Publication year - 1992
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1992.tb05463.x
Subject(s) - medicine , rectum , sigmoid colon , sigmoid function , perforation , anastomosis , carcinoma , colorectal cancer , surgery , resection , general surgery , colon carcinoma , cancer , materials science , machine learning , artificial neural network , computer science , punching , metallurgy
A review of the Hartmann's operation for patients with rectal and sigmoid cancer over an 18 year period is presented. There were 1063 patients who had a resection for carcinoma of the rectum or sigmoid colon and 4.4% of these had a Hartmann's procedure. This operation was particularly useful in the management of patients who presented with a proximal obstruction or perforation at the tumour site. It was also effective in the elective treatment of elderly unfit patients who had locally advanced tumors or those with distant metastases. Re‐anastomosis is recommended in those patients who are relatively fit and have had a potentially curative resection.