Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Surgical Oncology
  •  Orthopaedic Surgery
  •  Breast Surgery
  •  Pediatric Surgery
  •  Thoracic Surgery
  •  Endocrine Surgery
  •  Emergency Surgery
  •  Urology

Abstract

Citation: Clin Surg. 2021;6(1):3159.Research Article | Open Access

Quality of Life after Emergency Hartmann?s Procedure: A Single Centre Retrospective Study

Ike Njere*, Muhammad Abdalkoddus, Robert Bethune, Steve Mansfield, Ursula Donigiewicz and Davide Di Mauro

Royal Devon and Exeter NHS Foundation Trust, UK

*Correspondance to: Ike Njere 

 PDF  Full Text DOI: 10.25107/2474-1647.3159

Abstract

Background: Hartmann?s Procedure (HP) is the resection of the recto-sigmoid colon and creation of an end colostomy. Quality of Life (QoL) is increasingly considered before surgical intervention. This study assesses the patient?s perspective (QoL) before the HP, while the stoma is present and after reversal. Methods: Considered were patients who underwent emergency HP at our institution, between March 2014 and September 2017. The World Health Organization quality of life abbreviated questionnaire (WHOQOL-BREF) was used. An invitation letter and a copy of the questionnaire were sent to the patients, followed by a phone interview. Each patient completed the same questionnaire in relation to three time periods: Before Hartmann?s HP (BH), after Hartmann?s HP with Stoma Present (SP) and after Stoma Reversal (SR). Twice or 3 times, if the stoma was not reversed or was reversed. Results: Eighty-seven patients underwent emergency HP; 38 (43.7%) participated in the study. Fourteen (36.8%) patients had their stomas reversed. No difference in Qol, satisfaction with health, physical health, social relationships and environment between the periods BH vs. SP and BH vs. SR. There was an improvement from SP to SR. Psychological health scores were worse from BH to SP, but better from the SP to SR periods. Complications were the only predictor of outcome, except in psychological health and only after reversal of stoma. Conclusion: Emergency HP does not lower the general QoL but has a negative impact on psychological health. Stoma reversal engenders positive changes in QoL perception, while morbidity after stoma reversal predicts poorer outcomes.

Keywords

Cite the article

Njere I, Abdalkoddus M, Bethune R, Mansfield S, Donigiewicz U, Di Mauro D. Quality of Life after Emergency Hartmann?s Procedure: A Single Centre Retrospective Study. Clin Surg. 2021; 6: 3159.

Search Our Journal

Journal Indexed In

Articles in PubMed

Antimicrobial Peptides: A Potential Therapeutic Option for Surgical Site Infections
 PubMed  PMC  PDF  Full Text
RAF Kinase Inhibitory Protein Expression and Phosphorylation Profiles in Oral Cancers
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

A Retrospective Study to Investigate the Clinical Performance and Safety of BMI CSF Shunting System in Patients Who Needed Cerebrospinal Fluid Drainage Therapy
 Abstract  PDF  Full Text
Long Noncoding RNA LINC00520 Accelerates the Progression of Colorectal Cancer by Serving as a Competing Endogenous RNA of Microrna-577 to Increase HSP27 Expression
 Abstract  PDF  Full Text
View More...