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Creates diverting colostomy with distal rectum/colon closed or stapled. Temporary measure for emergency colorectal surgery. Allows later reversal when patient stabilized. Surgical bridge allowing bowel continuity restoration.
Resection of diseased colon segment. Creation of end colostomy. Closure/stapling of distal limb leaving in place for future reversal. Avoids primary anastomosis in contaminated/emergency setting.
Performed 3-6 months after initial procedure when patient recovered. Anastomosis of proximal and distal colon, restoration of bowel continuity. Relatively simple procedure with excellent outcomes.
Accurate estimate can be obtained from hospital while visiting the doctor.
Hartmann's procedure is an operation in which the diseased part of the lower colon (usually the sigmoid colon or upper rectum) is removed, the remaining rectum is closed off, and the healthy end of the colon is brought out through the abdominal wall as an end colostomy. Stool then passes into a bag attached to the skin.
It is often performed as an emergency operation to control a life-threatening problem safely.
Under general anaesthesia, the surgeon opens the abdomen or uses laparoscopic surgery when appropriate. The affected segment of bowel is removed, the abdomen is cleaned, the rectal stump is closed with staples or stitches, and the colostomy is created. Drains may be placed.
In many patients the colostomy can be reversed after recovery, typically after three to six months. The colon is reconnected to the rectum, often by laparoscopic surgery, so that stool passes normally again. Whether reversal is advisable depends on your health, the original illness and the condition of the rectum.
Not always. Many patients have the colostomy reversed later, but in some, especially older or less fit patients, it may be safer to keep it.
Yes. Most people return to work, travel and normal activities once they are confident with stoma care.
Joining the bowel in the presence of severe infection or an unwell patient carries a high risk of leakage. Hartmann's procedure avoids this risk.
No. In selected patients with localised (Hinchey II) perforation, laparoscopic lavage and drainage without resection can be effective. Hartmann's procedure is reserved for patients with widespread faecal contamination (Hinchey III/IV), haemodynamic instability, or immunocompromised states.
Hartmann's procedure at Charak Hospital is performed by Dr. Ashok Kumar, Senior Consultant Surgical Gastroenterologist — MCh Surgical Gastroenterology (SGPGI), FRCS, FACS, FASCRS, with 25+ years of experience.
Book Appointment: 0522-666-4444 View Dr. Ashok Kumar's profile →
Book a consultation: call 0522-666-4444 or use the request call back form on this page. In an emergency, come straight to the 24/7 emergency department at Charak Hospital, Hardoi Road, Dubagga, Lucknow.