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Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry

Received: 26 June 2023     Accepted: 17 July 2023     Published: 27 July 2023
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Abstract

Introduction: The aim was to determine the indications and evaluate the results of the Hartmann procedure in the general surgery department of the CHU Ignace Deen. Material and Methods: Five-year retrospective descriptive study (January 2018 to December 2022) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients undergoing Hartmann surgery were included in the study. The variables were sociodemographic, clinical, therapeutic and prognostic. Univariate and bivariate analysis was used to determine prognostic factors. Results: We collated 32 cases involving a Hartmann procedure out of 3164 hospitalisations, representing (1%) of the department's total activity. The mean age was 48 years, with extremes of 18 and 80 years. Symptoms were dominated by abdominal pain (81%), abdominal distension (75%), abdominal guarding (68%) and fever (21%). Pelvic colonic volvulus was the main indication (50%), followed by colorectal tumours (19%). The average length of hospitalisation was 16.5 days. The outcome was favourable in 90% of cases. We recorded 3 deaths. Prior abdominal surgery and the existence of bridges were morbidity and mortality factors in our study. Conclusion: Pelvic colon volvulus with necrosis was the main indication for this procedure. The Hartmann procedure represents an alternative operation in an emergency situation, with satisfactory results.

Published in Journal of Surgery (Volume 11, Issue 4)
DOI 10.11648/j.js.20231104.13
Page(s) 87-90
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Conakry, Conakry University Hospital, Hartmann, Indication, Result

References
[1] VandeWall BJM, Draaisma WA, Schouten ES, Broeders IAMJ, Consten ECJ (2010) Conventional and Laparoscopic Reversal of the Hartmann Procedure: a Review of Literature. J Gastrointest Surg 14: 743-752.
[2] Karamanou M, Abid L, Zografos G, Androutsos G (2017) Henri Hartmann (1860-1952): Grand maître de la chirurgie colorectale du 20e siècle. Presse Médicale 46: 620-624.
[3] De Paredes V, Amato R, Zeitoun J, Bouchard D, Contou J (2017) Henri Hartmann (1860-1952) de l'intervention. Côlon Rectum. F Heidelberg 11: 267-269.
[4] Manfredi S, Sabbagh C, Vanbierviliet G, Lecomme T, Laugier R, et al. (2014) Place des stents colorectaux dans la prise en charge thérapeutique des obstructions malignes du gros intestin. Endoscopie 46: 546-552.
[5] Fabre JM, Guillon F, Mercier N (2012) Chirurgie de la maladie diverticulaire du côlon compliquée. EMC-Tech Chir-Appar Dig 7: 1-9.
[6] Garber A, Hyman N, Osler T (2014) Complications du takedown de Hartmann dans une décennie d'anastomose primaire préférée. Am J Surg 207: 60-64.
[7] Ouchemi C, Mignagnal K, Moussa AM, Okim AM, Kalli MM, et al. (2015) Résultats du traitement du volvulus du sigmoïde à N'Djamena, TCHAD. European Scientific Journal 11: 1857-7881.
[8] Didier LJ, Magagi IA, Adamou H, Abdoulaye M, Hama Y, et al. (2021) Colectomie selon Hartmann: indications et résultats. J AFR CHIR DIGEST 21: 3485-3489.
[9] Horesh N, Lessing Y, Rudnicki Y, Kent I, Kammar H, et al. (2020) Délai du rétablissement de la continuité colorectale après intervention de Hartmann pour diverticulite perforée. J Chir Viscérale 157: 403-408.
[10] Didier L, Mb A, Adakal O, Adamou H, Ide K, et al. (2020) Article original outcomes of ideal colectomy versus two-stage colectomy on left côlon in emergency at national hospital of Niamey. J AFR CHIR DIGEST 20: 3138-3142.
[11] Kartal K, Citgez B, Koksal MH, Besler E, Akgun IE, et al. (2019) Colostomiereversal après une procédure de Hartamann effets de l'expérience sur la mortalité et la morbilité. AnnIatl Chir 90: 539-544.
[12] Krstic S, Resanovic V, Alempijevic T, Resanovic A, Sijacki A, et al. (2014) Hartmann's procedure vs loop colostomy in the treatment of obstructive rectosigmoid cancer. cancer rectosigmoïde obstructif World J Emerg Surg 9: 52.
[13] Lambrichts DPV, Vennix S, Musters GD, Mulder IM, Swank HA, et al. (2019) Hartmann's procedure versus sigmoidectomy with primary anastomosis for perforated diverticulitis with purulent or faecal peritonitis (LADIES): a multicentre, parallel-group, randomised, open-label, superiority trial. Lancet Gastroenterol Hepatol 4: 599-610.
[14] Park W, Park WC, Kim KY, Lee SY (2018) Efficacité et sécurité de l'inversion laparoscopique de la colostomie de Hartmann. Ann Coloproctology 34: 306-311.
[15] Hallam S, Mothe B, Tirumulaju R (2018) Procédure de Hartmann, inversion et taux de survie sans stomie. Ann R Coll Surg Engl 100: 301-307.
[16] Anastasiu M, Ilie A, Popescu D (2021) Results on restoration of digestive continuity after Hartmann procedure. J Chir Viscérale 158: 369-374.
[17] Barbieux J, Plumereau F, Hamy A (2016) Current indications for the Hartmann procedure. J Visc Surg 153: 31-38.
[18] Dumont F, Vibert E, Duval H, Manaouil D, Sredic A, et al. (2005) Morbimortality of the Hartmann procedure for diverticular peritonitis. Multicentre retrospective study of 85 patients. Ann Chir 130: 391-399.
[19] Vacher C, Zaghloul R, Borie F, Laporte S, Callafe R, et al. (2002) Restoration of digestive continuity after laparoscopic Hartmann surgery. Retrospective study by the French Society of Endoscopic Surgery (SFCE). Ann Chir 127: 189-192.
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    Kondano Saa Yawo, Konaté Adama, Diallo Mariama Ciré, Camara Mariama, Camara Naby Laye Youssouf, et al. (2023). Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry. Journal of Surgery, 11(4), 87-90. https://doi.org/10.11648/j.js.20231104.13

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    ACS Style

    Kondano Saa Yawo; Konaté Adama; Diallo Mariama Ciré; Camara Mariama; Camara Naby Laye Youssouf, et al. Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry. J. Surg. 2023, 11(4), 87-90. doi: 10.11648/j.js.20231104.13

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    AMA Style

    Kondano Saa Yawo, Konaté Adama, Diallo Mariama Ciré, Camara Mariama, Camara Naby Laye Youssouf, et al. Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry. J Surg. 2023;11(4):87-90. doi: 10.11648/j.js.20231104.13

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  • @article{10.11648/j.js.20231104.13,
      author = {Kondano Saa Yawo and Konaté Adama and Diallo Mariama Ciré and Camara Mariama and Camara Naby Laye Youssouf and Oulare Ibrahima and Barry Boubacar and Koundouno Aly Mampaan and Kourouma Mohamed and Kamano Faya Anatole and Ould Sidaty Ahmed El Heiba and Soumaoro Labilé Togba and Touré Aboubacar},
      title = {Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry},
      journal = {Journal of Surgery},
      volume = {11},
      number = {4},
      pages = {87-90},
      doi = {10.11648/j.js.20231104.13},
      url = {https://doi.org/10.11648/j.js.20231104.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231104.13},
      abstract = {Introduction: The aim was to determine the indications and evaluate the results of the Hartmann procedure in the general surgery department of the CHU Ignace Deen. Material and Methods: Five-year retrospective descriptive study (January 2018 to December 2022) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients undergoing Hartmann surgery were included in the study. The variables were sociodemographic, clinical, therapeutic and prognostic. Univariate and bivariate analysis was used to determine prognostic factors. Results: We collated 32 cases involving a Hartmann procedure out of 3164 hospitalisations, representing (1%) of the department's total activity. The mean age was 48 years, with extremes of 18 and 80 years. Symptoms were dominated by abdominal pain (81%), abdominal distension (75%), abdominal guarding (68%) and fever (21%). Pelvic colonic volvulus was the main indication (50%), followed by colorectal tumours (19%). The average length of hospitalisation was 16.5 days. The outcome was favourable in 90% of cases. We recorded 3 deaths. Prior abdominal surgery and the existence of bridges were morbidity and mortality factors in our study. Conclusion: Pelvic colon volvulus with necrosis was the main indication for this procedure. The Hartmann procedure represents an alternative operation in an emergency situation, with satisfactory results.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry
    AU  - Kondano Saa Yawo
    AU  - Konaté Adama
    AU  - Diallo Mariama Ciré
    AU  - Camara Mariama
    AU  - Camara Naby Laye Youssouf
    AU  - Oulare Ibrahima
    AU  - Barry Boubacar
    AU  - Koundouno Aly Mampaan
    AU  - Kourouma Mohamed
    AU  - Kamano Faya Anatole
    AU  - Ould Sidaty Ahmed El Heiba
    AU  - Soumaoro Labilé Togba
    AU  - Touré Aboubacar
    Y1  - 2023/07/27
    PY  - 2023
    N1  - https://doi.org/10.11648/j.js.20231104.13
    DO  - 10.11648/j.js.20231104.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 87
    EP  - 90
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20231104.13
    AB  - Introduction: The aim was to determine the indications and evaluate the results of the Hartmann procedure in the general surgery department of the CHU Ignace Deen. Material and Methods: Five-year retrospective descriptive study (January 2018 to December 2022) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients undergoing Hartmann surgery were included in the study. The variables were sociodemographic, clinical, therapeutic and prognostic. Univariate and bivariate analysis was used to determine prognostic factors. Results: We collated 32 cases involving a Hartmann procedure out of 3164 hospitalisations, representing (1%) of the department's total activity. The mean age was 48 years, with extremes of 18 and 80 years. Symptoms were dominated by abdominal pain (81%), abdominal distension (75%), abdominal guarding (68%) and fever (21%). Pelvic colonic volvulus was the main indication (50%), followed by colorectal tumours (19%). The average length of hospitalisation was 16.5 days. The outcome was favourable in 90% of cases. We recorded 3 deaths. Prior abdominal surgery and the existence of bridges were morbidity and mortality factors in our study. Conclusion: Pelvic colon volvulus with necrosis was the main indication for this procedure. The Hartmann procedure represents an alternative operation in an emergency situation, with satisfactory results.
    VL  - 11
    IS  - 4
    ER  - 

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Author Information
  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry Teaching Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

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