Hartmann's operation
The Hartmann’s procedure is a surgical operation in which a segment of the sigmoid or rectum is removed with temporary formation of a colostomy. The procedure is used in malignant tumors, intestinal obstruction, perforation, and inflammatory bowel diseases.
When is Hartmann’s procedure required?
- In cancer of the sigmoid or rectum when immediate restoration of intestinal continuity is not possible.
- In cases of intestinal obstruction to relieve an acute, life-threatening condition.
- In intestinal perforation, when rupture of the bowel wall poses a high risk of peritonitis.
- In complicated diverticulitis with abscesses, fistulas, or tissue necrosis.
- In severe intestinal trauma in emergency situations.
How is the operation performed?
- Diagnostics and preparation – CT, MRI, colonoscopy, and blood tests.
- Anesthesia – the operation is performed under general anesthesia.
- Resection of the affected bowel segment – removal of the diseased portion with preservation of the proximal end.
- Formation of a colostomy – temporary exteriorization of the bowel through the anterior abdominal wall.
- Postoperative monitoring – assessment of the patient’s condition and preparation for reconstructive surgery when feasible.
Main advantages of Hartmann’s procedure in Belarus
- Effective elimination of life-threatening conditions.
- Possibility of subsequent restoration of bowel continuity under favorable conditions.
- High survival rates in emergency indications.
- Modern surgical techniques reduce the risk of postoperative complications.
- Allows stabilization of the patient even in severe intestinal pathology.
The procedure is performed in leading surgical and oncological centers in Belarus using modern technologies. Experienced specialists ensure a high level of safety, effective recovery, and the possibility of later intestinal reconstruction.
This text has been translated using machine translation technology (DeepL API) and may contain inaccuracies.
