What is Hartmann's procedure?
The procedure Hartmann is an operation in which the rectum and part of the intestine are surgically removed. This procedure is sometimes performed as an emergency procedure in cases where the intestine is perforated or hindered. The Hartmann procedure is sometimes performed in people with colorectal cancer when these parts of the gastrointestinal system are so sick that they are no longer functional.
Before undergoing Hartmann's operation, the patient could be evaluated for his overall physical health. This general health control is carried out to determine whether it is sufficiently fit to undergo this physically stressful procedure. Health control may include X -rays, electrocardiogram and blood tests. However, this preparation can only be carried out for the planned procedure, because when the operation is carried out as an emergency measure, there may be not enough time for a number of tests.
After general anesthesia of the patient, the first phase of the Hartmann procedure is a cut made in the abdomen. Furthermore, the abdomen is open to expose the intestine and rectum. Then the sick tissue parts are then identified and removed. Furthermore, a stoma or a surgical hole is formed in the abdomen wall. The curse end of the intestine is connected to the stoma to allow fecal waste to leave the body.
In the final part of the Hartmann procedure, the patient is equipped with colostomy, a small outer bag that collects waste. For some people, colostomy is reversible; It can be permanent for others. Whether colostomy is reversible depends on individual circumstances and cannot always be predicted in advance.
From the beginning to finish, Hartmann usually proceeds between two and four hours. After surgery, the patient will remain in the hospital for five to 12 days, depending on his overall physic health and the result of the procedure. If the operation has been performed as cancer treatment, the patient may initiate chemotherapy during this time.
during the first few days after the procedure, patients usually doHold the liquid diet to keep the intestines to recover. Most people can return to a modified version of their normal diet within a few days. Certain foods should be avoided to facilitate the care of stoma and colostomy. Dietary adjustments can be discussed with a nurse, dietitian or nutritionist before or after surgery.
complete recovery takes several weeks. During this time it is best to avoid heavy lifting and other strenuous activities. However, it is also necessary to avoid a long period of inactivity to prevent complications such as thrombosis. It is recommended for short explosions of fine exercise or light activity, alternately with rest periods.