Evidence map›Paper›PMID 35956003›Full record

ArticleJournal of clinical medicine2022

Colostomy Reversal following Hartmann's Procedure: The Importance of Timing in Short- and Long-Term Complications: A Retrospective Multicentric Study.

Marco Clementi, Renato Pietroletti, Filippo Carletti, Federico Sista, Antonella Grasso, Fabiana Fiasca, Sonia Cappelli, Andrea Balla, Vinicio Rizza, Andrea Ciarrocchi and 1 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Analysis of factors related to the decision of Hartmann's procedure and its reversal: a single-center experience.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Marco ClementiGeneral Surgical Unit, San Salvatore Hospital, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio, 67100 Coppito, Italy.ORCID 0000-0002-9652-5148
Renato PietrolettiUnit of Proctology and Colorectal Surgery, Val Vibrata-Sant'Omero Hospital, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio, 67100 Coppito, Italy.ORCID 0000-0002-0790-1050
Filippo CarlettiGeneral Surgical Unit, San Salvatore Hospital, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio, 67100 Coppito, Italy.
Federico SistaHepatic Pancreatic and Biliary Surgical Unit, San Salvatore Hospital, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio, 67100 Coppito, Italy.
Antonella GrassoGeneral Surgical Unit, San Salvatore Hospital, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio, 67100 Coppito, Italy.
Fabiana FiascaPublic Health Unit, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio, 67100 Coppito, Italy.ORCID 0000-0002-8799-2342
Sonia CappelliDepartment of Surgery, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Andrea BallaGeneral and Minimally Invasive Surgical Unit, San Paolo Hospital, 00053 Civitavecchia, Italy.ORCID 0000-0002-0182-8761
Vinicio RizzaUnit of Proctology and Colorectal Surgery, Val Vibrata-Sant'Omero Hospital, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio, 67100 Coppito, Italy.
Andrea CiarrocchiGeneral Surgical Unit, Maria ss. dello Splendore Hospital, 67021 Giulianova, Italy.
Stefano GuadagniGeneral Surgical Unit, San Salvatore Hospital, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio, 67100 Coppito, Italy.ORCID 0000-0001-8525-084X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The restoration of bowel continuity following Hartmann's Procedure (HP) has been reported hitherto with high morbidity and mortality rates. No clear guidelines exist about timing in Hartmann's Reversal (HR), the literature data being conflicting. We have sought to investigate the effect of the interval time between HP and HR in short- and long-term HR outcomes through a retrospective study based on consecutive patients undergoing HR between 2009 and 2017 in two regional hospitals in Italy. Demographic characteristics, comorbidities, intra- and post-operative data, as well as early complications, were recorded. Long-term data were collected on the surgical site occurrences of Incisional Ventral Hernia (IVH). One hundred and five patients were recruited for the study. Late HR, female gender, and long operating time were related to the highest incidence of peri-operative complications. Patients who developed IVH had undergone HR at significantly shorter times and had a higher Body Mass Index (BMI). The timing of HR seems to be an important variable linked to the onset of early and late post-operative complications. The patients submitted to early HR show a significantly lower complication rate but, at the same time, a higher rate of IVH incidence after restorative surgery. These data, in our opinion, reflect the need for planning, where possible, an early restoration of bowel continuity after HP.

Indexed as

early and late complicationsHartmann’s ProcedureHartmann’s Reversaltiming

Identifiers

PMID35956003
PMCPMC9369122

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.