Complicações Pós-operatórias da Retossigmoidectomia à Hartmann: Uma Revisão Sistemática

Authors

  • Angelo Augusto Barata Barletta CESUPA
  • César Augusto Barata Barletta
  • Robinson Andrey dos Santos Bezerra
  • José Victor Silva Lima

DOI:

https://doi.org/10.36557/2674-8169.2025v7n11p693-702

Keywords:

retossigmoidectomia, Hartmann, complicações pós-operatórias, colostomia, cirurgia colorretal

Abstract

Introduction: Hartmann’s procedure is a surgical technique widely used in cases of intestinal obstruction, perforation, or advanced sigmoid and rectal neoplasia. Despite its utility in emergencies, it presents high postoperative morbidity. Objective: To identify the most prevalent postoperative complications after Hartmann’s procedure. Methods: A systematic literature review was performed using PubMed, SciELO, and Google Scholar databases, including studies published from 2000 to 2025. Conclusion: Hartmann’s procedure is associated with high morbidity and mortality rates, highlighting the importance of early recognition and prevention of complications.

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References

HARTMANN, H. Nouveau procédé d’ablation des cancers de la partie terminale du côlon pelvien. Bull Mem Soc Chir Paris, v. 47, p. 1474–1477, 1921.

SILVA, L. M.; ALMEIDA, J. P. Complicações pós-operatórias em cirurgia colorretal: revisão sistemática. Rev Col Bras Cir, v. 47, n. 4, p. 1–8, 2020.

COSTA, R. F. et al. Fístula de coto retal após procedimento de Hartmann: fatores de risco e prognóstico. Arq Gastroenterol, v. 59, n. 2, p. 123–130, 2022.

MORAES, D. P.; BARROS, C. C. Complicações associadas à colostomia terminal: revisão integrativa. J Coloproctol (Rio J), v. 42, n. 3, p. 271–278, 2023.

GONÇALVES, E. A. et al. Outcomes and complications after Hartmann’s procedure: a multicenter analysis. World J Surg, v. 45, p. 2145–2153, 2021.

FRONTIERS IN SURGERY. Colorectal anastomotic leakage: a narrative review of definitions and management. 2024. Disponível em: https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2024.1371567/.

JOURNAL ON SURGERY. Laparoscopic Hartmann Reversal: A Single Center Five-Years. 2024. Disponível em: https://journalonsurgery.org/articles/js-v3-1137.html.

EUROPEAN REVIEW. Utilization and outcomes of Hartmann’s procedure in emergency left colon surgery. 2024. Disponível em: https://www.europeanreview.org/article/36712.

FRONTIERS IN SURGERY. Safety of early Hartmann reversal during adjuvant chemotherapy. 2023. Disponível em: https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2023.1243125/full.

NATURE. Analysis of factors affecting reversal of Hartmann’s. 2020. Disponível em: https://www.nature.com/articles/s41598-020-73791-w.

SPRINGER. Management of complications in colorectal surgery. 2025. Disponível em: https://link.springer.com/article/10.1007/s10353-025-00871-4.

PUBMED. Is the Hartmann’s procedure for diverticulitis obsolete? 2023. Disponível em: https://pubmed.ncbi.nlm.nih.gov/37563342/.

PMC. Systematic review and meta-analysis comparing outcomes of multi-port vs single-incision approach in Hartmann’s reversal. 2024. Disponível em: https://pmc.ncbi.nlm.nih.gov/articles/PMC11604776/.

Published

2025-11-10

How to Cite

Barletta, A. A. B., Barletta, C. A. B., Bezerra, R. A. dos S., & Lima, J. V. S. (2025). Complicações Pós-operatórias da Retossigmoidectomia à Hartmann: Uma Revisão Sistemática. Brazilian Journal of Implantology and Health Sciences, 7(11), 693–702. https://doi.org/10.36557/2674-8169.2025v7n11p693-702