Hartman surgery is an operation to remove a part of the large intestine. This procedure is usually used as an emergency procedure for patients who do not support a wide range of surgical procedures or patients who can not be anastomosed.
What is the adaptation of the Hartmann procedure?
This procedure was initially developed to address the problem of distal colon adenocarcinoma, but the relevant indications progressed over time. Some of the common symptoms addressed by this surgical operation now include the following:
~ Complex diverticulitis
This is one of the most common indications for Hartmann surgery. This typically occurs at the site of vascular penetration between the tenia of mesenteritis and mesenteric tenia. Depending on the size, complications of diverticulitis can be categorized into four categories: actual parabolic absence, absence absence, purulent peritonitis and fecal peritonitis. The Hartman procedure is most preferred for treatment of the last two stages.
~ Colorectal cancer
This is the next common sign of the Hartmann procedure. In emergency situations, primary colorectal cancer symptoms may include perforation and bleeding. On the other hand, relaxation is a common symptom in the electrical case. Other rectal cancer-related indicators include follicular plexus ischemia; lymphoma, metastatic cancer; Crohn's disease; ulcerative colitis; pneumonia cystoid and retroperitoneal hemorrhage.
In addition to these two dominant categories, Hartmann surgery can be performed whenever colon resection is required. This is usually done in patients with malnutrition.
What is included in the operation?
Cuts are usually made in the stomach. This creates room for the surgeon to remove the diseased part of the intestine before performing the colostomy. Basically speaking, a colonotomy is a margin for passing fecal excreta at the end of the colon. In some cases it is possible to return this provision in a process called Reverse Hartman's procedure. Wounds made after cutting are usually closed with stitches or clips. Visible clips and stitches are usually deleted within 12 days.
What are the risks associated with this procedure?
Hartman's technique is a hard work. As with other surgical procedures, surgery involves considerable risk. Common risks are as follows.
* Nerve injury: This procedure is usually done in the immediate vicinity of the anal sphincter (posterior passage muscle). In this process, some muscles may be hurt. It causes nerve damage. By chance, this could lead to stool or wind incontinence. In extreme cases, this surgery may interfere with bladder and sexual function, but the risk is often temporary.
* Intestinal paralysis: Sometimes, this operation may lead to a small bowl (ileus) obstruction. If this happens, the intestines need to rest before surgery is done to release it.
* Other risks after surgery
Although Hartman's procedure may lead to chest complications, patients are usually advised to avoid smoking and practice deep breathing after this procedure. Apart from chest infections, other complications include thrombosis, wound infection, pulmonary thrombosis, etc.
Advantages of Hartman's procedure
With this surgery, the doctor can remove the affected part of the bowel. This provides a good solution to many of the colon problems such as colon cancer and rash.
Alternative procedure
As we learned in the beginning of this book, this operation is usually performed in an emergency. If the problem still exists, a hollow tube, commonly known as a stent, is inserted into the intestine. Once deployed, the stent will help to keep the aisle open. However, these symptoms only relax for a while.
What to do before operation
When preparing Hartman's procedure, it is important to prepare yourself yourself. Take a balanced diet, practice gently and try to ingest a lot of fresh air. Often it is advised to quit smoking at this point.
In summary, it is a sincere hope that we found this article useful. If you have related symptoms, please consult a specialist and receive specialized advice.
