Bladder Perforation During Reversal Of Hartmann's Procedure; A Case Report

Year 2019, Volume: 4 Issue: 4, 543 - 546, 31.12.2019

Mehmet Saraç

https://doi.org/10.26453/otjhs.469873

Abstract

The Hartmann procedure is used for various colonic
emergencies, including mainly colon obstruction and perforation. HP is technically
reversible, and surgeons often consider the stoma associated with this
procedure as being temporary until bowel continuity is restored by a second
operation. Some of the patients who undergo HP, however, will not undergo stoma
closure. In this case, a 52-year-old patient who underwent HP was
admitted to the emergency department due to ileus, and he was hospitalized in
our clinic to close the ostomy in the first postoperative year. During the
operation bladder perforation developed. We aimed to present our case as a
contribution to the medical literature. Bladder
perforation during reversal of HP is evaluated. 

Hartmann Kolostomi Kapatılması Esnasında Gelişen Mesane Perforasyonu; Bir Olgu Sunumu

Abstract

Hartmann
procedürü (HP) başlıca kolon obstriksiyon ve perforasyonlarını içeren çeşitli
kolonik aciller için uygulanan bir yöntemdir. HP’ne bağlı stoma bağırsak
sürekliliği ikinci bir operasyon ile sağlanıncaya kadar geçici olarak düşünülür
ancak HP uygulanan bazı hastalarda stoma kapatılması yapılamıyabilir. Bu
olgumuzda 52 yaşında ileus nedeniyle acil servise başvuran tarafımıza HP
uygulanmış, post operatif 1. Yılında ostomisi kapatılmak üzere kliniğimize
yatırılarak operasyona alındı. Bu esnada mesane perforasyonu gelişti. Olgumuzu
tıp literatürüne bir katkı olması nedeniyle sunmayı amaçladık. HP kapatılması
girişimi sırasında gelişen mesane perforasyonu irdelendi.

Keywords

Hartmann procedür kapatılması, mesane perforasyonu, rektum ca

References

• 1.Horesh N, Lessing Y, Rudnicki Y, Kent I, Kammar H, Ben-Yaacov A, Dreznik Y, Tulchinsky H, Avital S, Mavor E, Wasserberg N, Kashtan H, Klausner JM, Gutman M, Zmora O. Considerations for Hartmann's reversal and Hartmann's reversal outcomes-a multicenter study. Int J Colorectal Dis. 2017 Nov;32(11):1577-1582. doi: 10.1007/s00384-017-2897-2. Epub 2017 Sep 6. PMID:28879552
• 2. Roig JV, Cantos M, Balciscueta Z, Uribe N, Espinosa J, Roselló V, García-Calvo R, Hernandis J, Landete F; Sociedad Valenciana de Cirugía Cooperative Group. Hartmann's operation: how often is it reversed and at what cost? A multicentre study. Colorectal Dis. 2011 Dec;13(12):e396-402. doi: 10.1111/j.1463-1318.2011.02738.
• 3. Hodgson R, An V, Stupart DA, Guest GD, Watters DA. Who gets Hartmann's reversed in a regional centre? Surgeon. 2016 Aug;14(4):184-9. doi: 10.1016/j.surge.2014.11.001. Epub 2015 Jan 24.
• 4. Tan WS, Lim JF, Tang CL, Eu KW. Reversal of Hartmann's procedure: experience in an Asian population. : Singapore Med J. 2012 Jan;53 (1): 46-51.
• 5. Brathwaite S, Kuhrt M, Yu L, Arnold M, Husain S, Harzman AE. Retrospective Evaluation of Laparoscopic Versus Open Hartmann's Reversal: A Single-Institution Experience. Surg Laparosc Endosc Percutan Tech. 2015 Oct;25(5):e156-8. doi: 10.1097/SLE.0000000000000201. PMID:26429059.
• 6. Horesh N, Rudnicki Y, Dreznik Y, Zbar AP, Gutman M, Zmora O, Rosin D. Reversal of Hartmann's procedure: still a complicated operation. Tech Coloproctol. 2018 Feb;22(2):81-87. doi: 10.1007/s10151-017-1735-4. Epub 2017 Dec 4.
• 7. Roe AM, Prabhu S, Ali A, Brown C, Brodribb AJ. Reversal of Hartmann's procedure: timing and operative technique. Br J Surg. 1991 Oct;78(10):1167-70.
• 8. Garber A, Hyman N, Osler T. Complications of Hartmann takedown in a decade of preferred primary anastomosis. Am J Surg. 2014 Jan;207(1):60-4. doi: 0.1016/j.amjsurg.2013.05.006. Epub 2013 Sep 29.