Hartmann procedure
Surgical resection of diseased colon with end colostomy and closure of rectal stump.
Full Definition
The Hartmann procedure is a surgical operation involving resection of the sigmoid colon with creation of an end colostomy and closure of the rectal stump. Originally described for sigmoid cancer, it is now commonly performed in emergency settings for complicated diverticulitis, perforation, or obstruction when primary anastomosis is contraindicated. The procedure provides definitive source control while avoiding the risks of anastomotic leak in high-risk situations. Reversal of the Hartmann procedure (Hartmann reversal) is a separate operation to restore bowel continuity, though not all patients are suitable candidates for reversal. The decision between Hartmann procedure and primary anastomosis is based on patient factors and degree of contamination.
Usage
Usage note: Capitalize as eponymous procedure; distinguish from Hartmann reversal in documentation.
In Context
- "Given the severe peritoneal contamination, a Hartmann procedure was performed rather than risk primary anastomosis." — Emergency surgery report
- "The patient underwent successful Hartmann reversal six months after the initial emergency procedure." — Elective surgery note