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

  •  Plastic Surgery
  •  Oral and Maxillofacial Surgery
  •  Orthopaedic Surgery
  •  Pediatric Surgery
  •  General Surgery
  •  Gynecological Surgery
  •  Emergency Surgery
  •  Thoracic Surgery

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
Automated Sagittal Craniosynostosis Classification from CT Images Using Transfer Learning
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Study on Risk Factors and Prognosis of Lymph Node Metastasis of Siewert II/III Adenocarcinoma of Esophagogastric Junction
 Abstract  PDF  Full Text
Radiotherapy Enhances Kupffer Cell Function and Modifies the Spleen Macrophage Clearance
 Abstract  PDF  Full Text
View More...