Introduction: The aim was to determine the indications and evaluate the results of the Hartmann procedure in the general surgery department of the CHU Ignace Deen. Material and Methods: Five-year retrospective descriptive study (January 2018 to December 2022) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients undergoing Hartmann surgery were included in the study. The variables were sociodemographic, clinical, therapeutic and prognostic. Univariate and bivariate analysis was used to determine prognostic factors. Results: We collated 32 cases involving a Hartmann procedure out of 3164 hospitalisations, representing (1%) of the department's total activity. The mean age was 48 years, with extremes of 18 and 80 years. Symptoms were dominated by abdominal pain (81%), abdominal distension (75%), abdominal guarding (68%) and fever (21%). Pelvic colonic volvulus was the main indication (50%), followed by colorectal tumours (19%). The average length of hospitalisation was 16.5 days. The outcome was favourable in 90% of cases. We recorded 3 deaths. Prior abdominal surgery and the existence of bridges were morbidity and mortality factors in our study. Conclusion: Pelvic colon volvulus with necrosis was the main indication for this procedure. The Hartmann procedure represents an alternative operation in an emergency situation, with satisfactory results.
| Published in | Journal of Surgery (Volume 11, Issue 4) |
| DOI | 10.11648/j.js.20231104.13 |
| Page(s) | 87-90 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Conakry, Conakry University Hospital, Hartmann, Indication, Result
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APA Style
Kondano Saa Yawo, Konaté Adama, Diallo Mariama Ciré, Camara Mariama, Camara Naby Laye Youssouf, et al. (2023). Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry. Journal of Surgery, 11(4), 87-90. https://doi.org/10.11648/j.js.20231104.13
ACS Style
Kondano Saa Yawo; Konaté Adama; Diallo Mariama Ciré; Camara Mariama; Camara Naby Laye Youssouf, et al. Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry. J. Surg. 2023, 11(4), 87-90. doi: 10.11648/j.js.20231104.13
AMA Style
Kondano Saa Yawo, Konaté Adama, Diallo Mariama Ciré, Camara Mariama, Camara Naby Laye Youssouf, et al. Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry. J Surg. 2023;11(4):87-90. doi: 10.11648/j.js.20231104.13
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Download@article{10.11648/j.js.20231104.13,
author = {Kondano Saa Yawo and Konaté Adama and Diallo Mariama Ciré and Camara Mariama and Camara Naby Laye Youssouf and Oulare Ibrahima and Barry Boubacar and Koundouno Aly Mampaan and Kourouma Mohamed and Kamano Faya Anatole and Ould Sidaty Ahmed El Heiba and Soumaoro Labilé Togba and Touré Aboubacar},
title = {Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry},
journal = {Journal of Surgery},
volume = {11},
number = {4},
pages = {87-90},
doi = {10.11648/j.js.20231104.13},
url = {https://doi.org/10.11648/j.js.20231104.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231104.13},
abstract = {Introduction: The aim was to determine the indications and evaluate the results of the Hartmann procedure in the general surgery department of the CHU Ignace Deen. Material and Methods: Five-year retrospective descriptive study (January 2018 to December 2022) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients undergoing Hartmann surgery were included in the study. The variables were sociodemographic, clinical, therapeutic and prognostic. Univariate and bivariate analysis was used to determine prognostic factors. Results: We collated 32 cases involving a Hartmann procedure out of 3164 hospitalisations, representing (1%) of the department's total activity. The mean age was 48 years, with extremes of 18 and 80 years. Symptoms were dominated by abdominal pain (81%), abdominal distension (75%), abdominal guarding (68%) and fever (21%). Pelvic colonic volvulus was the main indication (50%), followed by colorectal tumours (19%). The average length of hospitalisation was 16.5 days. The outcome was favourable in 90% of cases. We recorded 3 deaths. Prior abdominal surgery and the existence of bridges were morbidity and mortality factors in our study. Conclusion: Pelvic colon volvulus with necrosis was the main indication for this procedure. The Hartmann procedure represents an alternative operation in an emergency situation, with satisfactory results.},
year = {2023}
}
TY - JOUR T1 - Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry AU - Kondano Saa Yawo AU - Konaté Adama AU - Diallo Mariama Ciré AU - Camara Mariama AU - Camara Naby Laye Youssouf AU - Oulare Ibrahima AU - Barry Boubacar AU - Koundouno Aly Mampaan AU - Kourouma Mohamed AU - Kamano Faya Anatole AU - Ould Sidaty Ahmed El Heiba AU - Soumaoro Labilé Togba AU - Touré Aboubacar Y1 - 2023/07/27 PY - 2023 N1 - https://doi.org/10.11648/j.js.20231104.13 DO - 10.11648/j.js.20231104.13 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 87 EP - 90 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20231104.13 AB - Introduction: The aim was to determine the indications and evaluate the results of the Hartmann procedure in the general surgery department of the CHU Ignace Deen. Material and Methods: Five-year retrospective descriptive study (January 2018 to December 2022) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients undergoing Hartmann surgery were included in the study. The variables were sociodemographic, clinical, therapeutic and prognostic. Univariate and bivariate analysis was used to determine prognostic factors. Results: We collated 32 cases involving a Hartmann procedure out of 3164 hospitalisations, representing (1%) of the department's total activity. The mean age was 48 years, with extremes of 18 and 80 years. Symptoms were dominated by abdominal pain (81%), abdominal distension (75%), abdominal guarding (68%) and fever (21%). Pelvic colonic volvulus was the main indication (50%), followed by colorectal tumours (19%). The average length of hospitalisation was 16.5 days. The outcome was favourable in 90% of cases. We recorded 3 deaths. Prior abdominal surgery and the existence of bridges were morbidity and mortality factors in our study. Conclusion: Pelvic colon volvulus with necrosis was the main indication for this procedure. The Hartmann procedure represents an alternative operation in an emergency situation, with satisfactory results. VL - 11 IS - 4 ER -
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