Observational studySurgical endoscopy2026
Surgical and clinical predictors of successful Hartmann reversal procedure after perforated diverticulitis.
Observational study in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04907383 (Prospective Evaluation of Quality of Life in Patients With Acute Colonic Diverticular Disease), which is not on this map. Not yet cited in PubMed.
What it found
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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.
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.
Prospective Evaluation of Quality of Life in Patients With Acute Colonic Diverticular Disease: Diverticular Disease Registry DDR Trial
Who cites it
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Authors and funding
18 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe feasibility of Hartmann reversal after an Hartmann procedure for perforated diverticulitis has long been debated. This retrospective multicentered study assessed the outcomes of Hartmann reversal and the risk factors of its failure.
methodsPatients who underwent Hartmann reversal for perforated diverticulitis in the last 5 years with at least 12 months of postoperative follow-up within the Diverticular Disease Registry (ClinicalTrials.gov NCT04907383) were recruited. A successful Hartmann reversal was defined as a minimally invasive surgery without conversion, without protective ileostomy, and without major surgical complications defined as Clavien-Dindo ≥ 3.
results242 patients were enrolled. One-hundred-thirty-three (70%) were males, the mean age was 59.5 (± 11.6) years, the mean Body Mass Index was 26 (± 3.5) kg/m
conclusionsHartmann reversal after Hartmann procedure for perforated diverticulitis was performed in 78.6% of patients, with a success rate of 64.2%. Patients should be advised to lose weight before an Hartmann reversal. Open Hartmann procedure, splenic flexure mobilization, and superior rectal artery ligation during the index operation were associated with lower rates of successful reversal.
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