Format

Send to

Choose Destination
Am J Surg. 2005 Nov;190(5):717-20.

A comparison of complications associated with colostomy reversal versus ileostomy reversal.

Author information

1
Surgical Service, Dallas VA Medical Center, MC 112, 4500 Lancaster Road, Dallas, TX 75216, USA.

Abstract

BACKGROUND:

The incidence of complications after reversal of Hartmann's procedure is unknown. This study compares the morbidity of Hartmann's reversal versus loop ileostomy reversal.

METHODS:

Two groups of 20 patients were studied retrospectively over a 5-year period. One group underwent Hartmann's takedown, and the other underwent loop ileostomy takedown. Postoperative complications were compared between the 2 groups.

RESULTS:

Similar demographics were noted between each group. The most common initial indications for Hartmann's procedure were diverticulosis (11 patients, 55%) and colon cancer (4 patients, 20%). For patients who had undergone colectomy with primary anastomosis and ileostomy, colon cancer was the most common indication (12 patients, 60%) followed by diverticulosis (3 patients, 15%). Complications were more common after Hartmann reversal than loop ileostomy reversal (16 complications/11 patients versus 6 complications/4 patients, P = .047).

CONCLUSION:

Segmental colonic excision with anastomosis and loop ileostomy may be an attractive alternative to minimize morbidity with stoma reversal.

PMID:
16226946
DOI:
10.1016/j.amjsurg.2005.07.009
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center