Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry

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Introduction: The aim was to determine the indications and evaluate the results of the Hartmann procedure in the general surgery department of the CHU Ignace Deen. Material and Methods: Five-year retrospective descriptive study (January 2018 to December 2022) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients undergoing Hartmann surgery were included in the study. The variables were sociodemographic, clinical, therapeutic and prognostic. Univariate and bivariate analysis was used to determine prognostic factors. Results: We collated 32 cases involving a Hartmann procedure out of 3164 hospitalisations, representing (1%) of the department's total activity. The mean age was 48 years, with extremes of 18 and 80 years. Symptoms were dominated by abdominal pain (81%), abdominal distension (75%), abdominal guarding (68%) and fever (21%). Pelvic colonic volvulus was the main indication (50%), followed by colorectal tumours (19%). The average length of hospitalisation was 16.5 days. The outcome was favourable in 90% of cases. We recorded 3 deaths. Prior abdominal surgery and the existence of bridges were morbidity and mortality factors in our study. Conclusion: Pelvic colon volvulus with necrosis was the main indication for this procedure. The Hartmann procedure represents an alternative operation in an emergency situation, with satisfactory results.

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