Abstract:
Background. The Hartmann procedure (HP) is an invasive procedure in which the affected portion of colon is
removed usually due to diverticulitis especially in stage III
and IV, which involve peritonitis or colorectal cancer particularly recto-sigmoid carcinoma. Objective of the study.
To Assess the significance, epidemiology, clinical presentation, diagnostic techniques, modern therapeutic techniques
and surgical strategies of Hartmann procedure. Material
and methods. PubMed, PubMed Central, Medline, Google
Scholar databases for assessing the indications and surgical technique of HP, keywords used: „Hartmann procedure”,
„diverticulitis with peritonitis”, „complicated colorectal
cancer”. Results. A total of 40 full articles were studied and
analyzed. The articles contain information about the importance of surgical techniques, the clinical and paraclinical
findings, diagnostic methods, as well as the curative management of patients. The Hartmann procedure is still nowadays an operation widely used in emergency situations. The
main indications: advanced or complicated recto-sigmoid
neoplasm, moderate biological condition of the patient,
peritoneal sepsis, intestinal occlusion and fragile colonic wall, especially in the context of inflammatory changes.
Conclusion. This thesis offering a thorough summary helps
to further knowledge of this surgical technique procedure
and attempts to assist medical professionals in making the
best decisions possible for patients.
