PDF(Pubmed)
Abstract：
BACKGROUND: The Hartmann procedure is currently recognized as a common, safe, and feasible surgical procedure. However, its reversal rate is low, and the optimal timing for Hartmann reversal surgery is controversial.
METHODS: A 65-year-old man came to our hospital with a complaint of an intestinal fistula next to the stoma. The patient had undergone a Hartmann procedure 13 years prior. We performed colonoscopy, computed tomography, and other diagnostics before successfully reversing the stoma.
CONCLUSIONS: Although the optimal time for Hartmann procedure reversal is controversial, time may ultimately not be a factor in the success of reversal.
METHODS: A 65-year-old man came to our hospital with a complaint of an intestinal fistula next to the stoma. The patient had undergone a Hartmann procedure 13 years prior. We performed colonoscopy, computed tomography, and other diagnostics before successfully reversing the stoma.
CONCLUSIONS: Although the optimal time for Hartmann procedure reversal is controversial, time may ultimately not be a factor in the success of reversal.
摘要：
背景：哈特曼程序目前被认为是一种常见的，安全,和可行的外科手术。然而,它的逆转率很低，哈特曼逆转手术的最佳时机是有争议的。
方法：一名65岁的男子来到我院，主诉造口旁边有肠瘘。该患者在13年前接受了哈特曼手术。我们做了结肠镜检查,计算机断层扫描,和其他诊断，然后成功逆转造口。
结论：尽管Hartmann程序逆转的最佳时间存在争议，时间最终可能不是逆转成功的因素。
方法：一名65岁的男子来到我院，主诉造口旁边有肠瘘。该患者在13年前接受了哈特曼手术。我们做了结肠镜检查,计算机断层扫描,和其他诊断，然后成功逆转造口。
结论：尽管Hartmann程序逆转的最佳时间存在争议，时间最终可能不是逆转成功的因素。
