Laparoscopic surgery of the abdomen. The team of medical specialists conducting laparoscopic surgery
Newsy Pod sliderem Stomia Zakażenia

Zakażenie rany po operacji Hartmanna dotyka 15% pacjentów

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Zabieg operacyjny zwany operacją Hartmanna wykonuje się w przypadku niedrożności jelita, raka jelita grubego, a także podczas leczenia powikłanej choroby schyłkowej jelit. Celem tego zabiegu operacyjnego jest usunięcie zmiany chorobowej (takiej jak np. guz czy zwężony odcinek jelita), wyłonienie stomii z bliższego odcinka esicy oraz zaszycie kikuta odbytnicy na ślepo.

Operację wykonuje się poprzez otwarcie jamy brzusznej lub laparoskopowo

Pomimo tego, że zazwyczaj zabieg ten wykonuje się poprzez otwarcie jamy brzusznej, dzięki rozwojowi technik laparoskopowych, coraz częściej przeprowadza się ją również laparoskopowo. Jednak podczas tej metody niezbędne jest bogate doświadczenie chirurga. Jak pokazują badania, obie formy operacji Harmanna dają podobne efekty.

Kiedy wykonuje się operację Hartmanna?

Zabieg ten przeprowadza się również w przypadku takich schorzeń, jak skręt esicy, perforacja jatrogenna lub pourazowa esicy, w przypadku nieswoistych chorób zapalnych jelit, jak również zmian popromiennych jelita grubego.

Konsekwencją operacji Hartmanna jest pozostawienie stomii, którą po kilku miesiącach od zabiegu można jednak usunąć. Wówczas niezbędny będzie ponowny zabieg, podczas którego ciągłość przewodu pokarmowego zostanie odtworzona, stomia usunięta, a wolny koniec esicy z kikutem odbytnicy połączony.

Jakie są przeciwwskazania do wykonania operacji Hartmanna?

Jak pokazują statystki, u ok. 50% pacjentów rekonstrukcja przewodu pokarmowego będzie niemożliwa, z uwagi na zaawansowany wiek pacjenta, choroby współistniejące lub niewydolność zwieraczy odbytu.

Jakie powikłania mogą wystąpić po operacji Hartmanna?

Zabieg ten, jak każda operacja wiąże się również z możliwymi powikłaniami. W przypadku operacji Hartmanna najczęściej dochodzi do zakażenia rany. Konsekwencja ta dotyka ok. 15% chorych.

Źródło: chirurgia-onkologia.com.pl

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