Hartmann’s procedure, colonic resection with an end colostomy and rectal closure, is commonly performed in patients with colonic obstruction and/or perforation. Hartmann’s reversal or colostomy closure is associated with significant technical difficulty and morbidity. High grade evidence studies related to Hartmann’s reversal are scarce. We sought to better gauge the complexity of outcome of Hartmann’s reversal by comparing it to left colectomy, a common elective operation with similar resultant left sided colonic anastomosis. As such, we examine the short-term outcomes of Hartmann’s reversal (HR) and left colectomy (LC) for cancer (LCC) and diverticulitis (LCD).
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