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Hartmann's procedure
Related Subjects: |Hartmann's procedure
💡 Hartmann’s Procedure is named after the French surgeon Henri Hartmann. It is commonly performed for severe diverticulitis, bowel cancer, or trauma. The operation involves removing a diseased section of bowel and creating a colostomy (stoma), while sealing off the rectal stump.
📘 About
- Named after Henri Hartmann.
- Removes diseased/damaged lower colon.
- Creates a colostomy (stoma) ➡️ bowel contents leave via the abdomen.
- The rectal stump is sealed off internally.
- May be temporary or permanent depending on disease and recovery.
🖼️ Diagram
🎯 Indications
- ⚡ Diverticulitis – complicated (perforation, abscess, fistula).
- 🎗️ Colon cancer requiring safe resection.
- 🩸 Trauma to the colon.
- 🦠 Infection (e.g. ischaemic colitis).
- 🚫 Obstruction not relieved by other means.
🔪 Procedure Steps
- 💤 General anaesthesia.
- 📏 Abdominal incision to access bowel.
- ✂️ Diseased bowel segment resected.
- 🔄 Colostomy formed (bowel brought to skin).
- 🚫 Rectal stump sealed off.
🧑⚕️ Preoperative Preparation
- 👩⚕️ Stoma nurse consultation: education and site marking.
- 🧪 Investigations: bloods, imaging, physical exam.
- 🚽 Bowel prep: laxatives/enemas unless emergency.
- 💊 Medication review: adjust anticoagulants/antiplatelets.
🏥 Postoperative Care
- 📊 Monitor vitals, stoma output, and infection signs.
- 🩹 Stoma care: education and support.
- 🥣 Diet: liquids → low fibre → solids as tolerated.
- 💊 Pain management, avoid NSAIDs if bowel-sensitive.
- 💧 Hydration to maintain balance with stoma losses.
⚠️ Potential Complications
- 🔴 Stoma issues: prolapse, retraction, infection.
- 🦠 Wound/abdominal infection.
- 💧 Anastomotic leak (if an anastomosis created).
- 💪 Hernia at stoma site.
- 🪢 Adhesions → risk of future obstruction.
📚 References
| The content on this website is provided for educational and informational purposes only to support exam preparation (e.g., MLA, MRCP, USMLE) and learning. This is NOT medical advice, diagnosis, treatment, or professional guidance. It does not replace consultation with a qualified healthcare professional, official guidelines (e.g., NICE, GMC, BNF), or supervised clinical practice. Always verify information with current, authoritative sources. Makindo and its contributors accept no liability for any reliance on this content, including errors, omissions, or any resulting harm, loss, or consequences. By using this site, you agree to these terms. |
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