关键词: Colorectal surgery Functional outcome Hartmann's procedure Hartmann's reversal Postoperative outcome

Mesh : Humans Quality of Life Cross-Sectional Studies Anastomosis, Surgical / methods Postoperative Complications / epidemiology surgery Treatment Outcome Colostomy / methods Proctocolectomy, Restorative Retrospective Studies

来  源:   DOI:10.1016/j.amjsurg.2022.09.006

Abstract:
Functional complaints after colorectal surgery have a profound effect on quality of life (QoL). Our goal was to investigate the prevalence of functional complaints and quality of life after Hartmann\'s reversal surgery.
A cross-sectional study was performed where one hundred nineteen patients were included. All patients underwent Hartmann\'s reversal procedure between 2007 and 2019. All patients were asked to complete 3 validated questionnaires related to bowel function in benign and colorectal cancer surgery as well as general QoL.
The response rate was 67%. Among responders, 32.8% reported LARS-like symptoms whereas 25% had significant COREFO Scores (>15). Higher LARS and COREFO scores were significantly associated with worse global QoL and several QoL domain scores (p < 0.05).
This study highlights the prevalence of bowel dysfunction after Hartmann\'s reversal surgery. Patients undergoing this procedure show similar functional complaints compared to those in literature who had a resection without colostomy.
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