Hartmann procedure

Last revised by Daniel J Bell on 21 Apr 2024

Hartmann procedure, a.k.a. proctosigmoidectomy, is an operation in which the sigmoid colon is resected and the distal colon brought out as a colostomy in the left iliac fossa. The remnant rectum stump is sewn shut. It is a quick and straightforward intervention and currently finds most favor in the emergency setting, when other perioperative factors preclude a primary colorectal anastomosis 1. Historically it was a lot more commonly used with a much wider set of indications.

  • infection of the surgical site

  • ileus

  • postoperative hemorrhage

  • abscess

  • death

Henri Albert Hartmann (1869-1952), a French surgeon, originally described his eponymous procedure for the treatment of an obstructive colorectal carcinoma in 1923 1.

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