Hartmann Cirurgia
Hartmann Cirurgia: A Comprehensive Guide
Overview
Hartmann Cirurgia, also known as Hartmann's procedure, is a surgical intervention primarily performed to treat a specific condition known as sigmoid volvulus. This condition arises when a portion of the large intestine, particularly the sigmoid colon, twists around itself, leading to a potentially life-threatening obstruction. Hartmann Cirurgia involves the surgical removal of the affected sigmoid colon and the creation of a temporary colostomy to divert stool away from the surgical site.
Indications
The primary indication for Hartmann Cirurgia is sigmoid volvulus. This condition can occur due to several factors, including:
- Elongation of the sigmoid colon
- Weak supporting ligaments
- Constipation and chronic straining
Procedure
Hartmann Cirurgia is typically performed under general anesthesia. The procedure involves the following steps:
- An incision is made in the lower abdomen, providing access to the sigmoid colon.
- The affected sigmoid colon is identified and carefully dissected from surrounding tissues.
- The sigmoid colon is then removed, along with any associated diseased or damaged tissue.
- A temporary colostomy is created by bringing the proximal end of the colon to the surface of the abdomen, allowing stool to pass into a collection bag.
Post-Operative Care
After Hartmann Cirurgia, patients typically remain in the hospital for several days to monitor their recovery and ensure the colostomy is functioning properly. During this time, patients may experience some discomfort or pain, which can be managed with pain medication. Dietary restrictions may also be necessary initially, with a gradual transition to a regular diet as tolerated.
Complications
As with any surgical procedure, Hartmann Cirurgia can occasionally be associated with complications, although these are generally uncommon. Potential complications include:
- Bleeding
- Infection
- Hernia at the colostomy site
- Delayed healing
Long-Term Outcomes
Hartmann Cirurgia is generally successful in resolving sigmoid volvulus and restoring bowel function. However, in some cases, a second surgery may be necessary to reverse the colostomy and reconnect the remaining portions of the colon. Long-term outcomes for patients who undergo Hartmann Cirurgia are generally favorable, with most individuals experiencing a return to normal bowel function and a good quality of life.
References
- Hartmann's procedure for sigmoid volvulus: a systematic review and meta-analysis
- Sigmoid volvulus
- Hartmann's Procedure
Comments