Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago

Perrone G 1 , Giuffrida M 2 , Abu-Zidan F 3 , Kruger VF 4 , Livrini M 1 , Petracca GL 1 Show all authors , Rossi G 1 , Tarasconi A 5 , Tian BWCA 6 , Bonati E 7 , Mentz R 8 , Mazzini FN 8 , Campana JP 8 , Gasser E 9 , Kafka-Ritsch R 9 , Felsenreich DM 10 , Dawoud C 10 , Riss S 10 , Gomes CA 11 , Gomes FC 11 , Gonzaga RAT 12 , Canton CAB 12 , Pereira BM 13 , Fraga GP 4 , Zem LG 4 , Cordeiro-Fonseca V 14 , de Mesquita Tauil R 14 , Atanasov B 15 , Belev N 15 , Kovachev N 15 , Meléndez LJJ 16 , Dimova A 17 , Dimov S 17 , Zelić Z 17 , Augustin G 18 , Bogdanić B 18 , Morić T 18 , Chouillard E 19 , Bajul M 20 , De Simone B 21 , Panis Y 22 , Esposito F 23 , Notarnicola M 24 , Lauka L 24 , Fabbri A 24 , Hentati H 25 , Fnaiech I 25 , Aurélien V 26 , Bougard M 26 , Roulet M 26 , Demetrashvili Z 27 , Pipia I 27 , Merabishvili G 27 , Bouliaris K 28 , Koukoulis G 28 , Doudakmanis C 28 , Xenaki S 29 , Chrysos E 29 , Kokkinakis S 29 , Vassiliu P 30 , Michalopoulos N 30 , Margaris I 30 , Kechagias A 31 , Avgerinos K 31 , Katunin J 31 , Lostoridis E 32 , Nagorni EA 32 , Pujante A 32 , Mulita F 33 , Maroulis I 33 , Vailas M 33 , Marinis A 34 , Siannis I 34 , Bourbouteli E 34 , Manatakis DK 35 , Tasis N 35 , Acheimastos V 35 , Maria S 36 , Stylianos K 36 , Kuzeridis H 36 , Korkolis D 37 , Fradelos E 37 , Kavalieratos G 37 , Petropoulou T 38 , Polydorou A 38 , Papacostantinou I 38 , Triantafyllou T 39 , Kimpizi D 39 , Theodorou D 39 , Toutouzas K 40 , Chamzin A 40 , Frountzas M 40 , Schizas D 41 , Karavokyros I 41 , Syllaios A 41 , Charalabopoulos A 42 , Boura M 42 , Baili E 42 , Ioannidis O 43 , Loutzidou L 43 , Anestiadou E 43 , Tsouknidas I 44 , Petrakis G 44 , Polenta E 44 , Bains L 45 , Gupta R 46 , Singh SK 46 , Khanduri A 46 , Bala M 47 , Kedar A 47 , Pisano M 48 , Podda M 48 , Pisanu A 48 , Martines G 49 , Trigiante G 49 , Lantone G 49 , Agrusa A 50 , Di Buono G 50 , Buscemi S 50 , Veroux M 51 , Gioco R 51 , Veroux G 51 , Oragano L 52 , Zonta S 52 , Lovisetto F 52 , Feo CV 53 , Pesce A 53 , Fabbri N 53 , Lantone G 54 , Marino F 54 , Perrone F 54 , Vincenti L 55 , Papagni V 55 , Picciariello A 55 , Rossi S 56 , Picardi B 56 , Del Monte SR 56 , Visconti D 57 , Osella G 57 , Petruzzelli L 57 , Pignata G 58 , Andreuccetti J 58 , D'Alessio R 58 , Buonfantino M 59 , Guaitoli E 59 , Spinelli S 59 , Sampietro GM 60 , Corbellini C 60 , Lorusso L 60 , Frontali A 61 , Pezzoli I 61 , Bonomi A 61 , Chierici A 62 , Cotsoglou C 62 , Manca G 63 , Delvecchio A 63 , Musa N 63 , Casati M 64 , Letizia L 64 , Abate E 64 , Ercolani G 65 , D'Acapito F 65 , Solaini L 65 , Guercioni G 66 , Cicconi S 66 , Sasia D 67 , Borghi F 67 , Giraudo G 67 , Sena G 68 , Castaldo P 68 , Cardamone E 68 , Portale G 69 , Zuin M 69 , Spolverato Y 69 , Esposito M 70 , Isernia RM 70 , Di Salvo M 70 , Manunza R 71 , Esposito G 71 , Agus M 71 , Asti ELG 72 , Bernardi DT 72 , Tonucci TP 72 , Luppi D 73 , Casadei M 73 , Bonilauri S 73 , Pezzolla A 74 , Panebianco A 74 , Laforgia R 74 , De Luca M 75 , Zese M 75 , Parini D 75 , Jovine E 76 , De Sario G 76 , Lombardi R 76 , Aprea G 77 , Palomba G 77 , Capuano M 77 , Argenio G 78 , Orio G 78 , Armellino MF 78 , Troian M 79 , Guerra M 79 , Nagliati C 79 , Biloslavo A 80 , Germani P 80 , Aizza G 80 , Monsellato I 81 , Chahrour AC 81 , Anania G 82 , Bombardini C 82 , Bagolini F 82 , Sganga G 83 , Fransvea P 83 , Bianchi V 83 , Boati P 84 , Ferrara F 84 , Palmieri F 84 , Cianci P 85 , Gattulli D 85 , Restini E 85 , Cillara N 86 , Cannavera A 86 , Nita GE 87 , Sarnari J 87 , Roscio F 88 , Clerici F 88 , Scandroglio I 88 , Berti S 89 , Cadeo A 89 , Filippelli A 89 , Conti L 90 , Grassi C 90 , Cattaneo GM 90 , Pighin M 91 , Papis D 91 , Gambino G 92 , Bertino V 92 , Schifano D 92 , Prando D 93 , Fogato L 93 , Cavallo F 93 , Ansaloni L 94 , Picheo R 94 , Pontarolo N 94 , Depalma N 95 , Spampinato M 95 , D'Ugo S 95 , Lepre L 96 , Capponi MG 96 , Campa RD 96 , Sarro G 97 , Dinuzzi VP 97 , Olmi S 98 , Uccelli M 98 , Ferrari D 98 , Inama M 99 , Moretto G 99 , Fontana M 99 , Favi F 100 , Picariello E 100 , Rampini A 100 , Barberis A 101 , Azzinnaro A 101 , Oliva A 101 , Totaro L 102 , Benzoni I 102 , Ranieri V 102 , Capolupo GT 103 , Carannante F 103 , Caricato M 103 , Ronconi M 104 , Casiraghi S 104 , Casole G 104 , Pantalone D 105 , Alemanno G 105 , Scheiterle M 105 , Ceresoli M 106 , Cereda M 106 , Fumagalli C 106 , Zanzi F 107 , Bolzon S 107 , Guerra E 107 , Lecchi F 108 , Cellerino P 108 , Ardito A 108 , Scaramuzzo R 109 , Balla A 109 , Lepiane P 109 , Tartaglia N 110 , Ambrosi A 110 , Pavone G 110 , Palini GM 111 , Veneroni S 111 , Garulli G 111 , Ricci C 112 , Torre B 112 , Russo IS 112 , Rottoli M 112 , Tanzanu M 112 , Belvedere A 112 , Milone M 113 , Manigrasso M 113 , De Palma GD 113 , Piccoli M 114 , Pattacini GC 114 , Magnone S 115 , Bertoli P 115 , Pisano M 115 , Massucco P 116 , Palisi M 116 , Luzzi AP 116 , Fleres F 117 , Clarizia G 117 , Spolini A 117 , Kobe Y 118 , Toma T 118 , Shimamura F 118 , Parker R 119 , Ranketi S 119 , Mitei M 119 , Svagzdys S 120 , Pauzas H 120 , Zilinskas J 120 , Poskus T 121 , Kryzauskas M 121 , Jakubauskas M 121 , Zakaria AD 122 , Zakaria Z 122 , Wong MP 122 , Jusoh AC 123 , Zakaria MN 123 , Cruz DR 124 , Elizalde ABR 124 , Reynaud AB 124 , Hernandez EEL 125 , Monroy JMVP 125 , Hinojosa-Ugarte D 125 , Quiodettis M 126 , Du Bois ME 126 , Latorraca J 126 , Major P 127 , Pędziwiatr M 127 , Pisarska-Adamczyk M 127 , Walędziak M 128 , Kwiatkowski A 128 , Czyżykowski Ł 128 , da Costa SD 129 , Pereira B 129 , Ferreira ARO 129 , Almeida F 130 , Rocha R 130 , Carneiro C 130 , Perez DP 131 , Carvas J 131 , Rocha C 131 , Ferreira C 132 , Marques R 132 , Fernandes U 132 , Leao P 133 , Goulart A 133 , Pereira RG 134 , Patrocínio SDD 134 , de Mendonça NGG 134 , Manso MIC 135 , Morais HMC 135 , Cardoso PS 135 , Calu V 136 , Miron A 136 , Toma EA 136 , Gachabayov M 137 , Abdullaev A 137 , Litvin A 138 , Nechay T 139 , Tyagunov A 139 , Yuldashev A 139 , Bradley A 140 , Wilson M 140 , Panyko A 141 , Látečková Z 141 , Lacko V 141 , Lesko D 142 , Soltes M 142 , Radonak J 142 , Turrado-Rodriguez V 143 , Termes-Serra R 143 , Morales-Sevillano X 143 , Lapolla P 144 , Mingoli A 144 , Brachini G 144 , Degiuli M 145 , Sofia S 145 , Reddavid R 145 , de Manzoni Garberini A 146 , Buffone A 146 , Del Pozo EP 147 , Aparicio-Sánchez D 147 , Dos Barbeito S 147 , Estaire-Gómez M 148 , Vitón-Herrero R 148 , de Los Ángeles Gil Olarte-Marquez M 148 , Gil-Martínez J 149 , Alconchel F 149 , Nicolás-López T 149 , Rahy-Martin AC 150 , Pelloni M 150 , Bañolas-Suarez R 150 , Mendoza-Moreno F 151 , Nisa FG 151 , Díez-Alonso M 151 , Rodas MEV 152 , Agundez MC 152 , Andrés MIP 152 , Moreira CCL 153 , Perez AL 153 , Ponce IA 153 , González-Castillo AM 154 , Membrilla-Fernández E 154 , Salvans S 154 , Serradilla-Martín M 155 , Pardo PS 155 , Rivera-Alonso D 156 , Dziakova J 156 , Huguet JM 156 , Valle NP 157 , Ruiz EC 157 , Valcárcel CR 158 , Moreno CR 158 , Salazar YTM 158 , García JJR 159 , Micó SS 159 , López JR 159 , Farré SP 160 , Gomez MS 160 , Petit NM 160 , Titos-García A 161 , Aranda-Narváez JM 161 , Romacho-López L 161 , Sánchez-Guillén L 162 , Aranaz-Ostariz V 162 , Bosch-Ramírez M 162 , Martínez-Pérez A 163 , Martínez-López E 163 , Sebastián-Tomás JC 163 , Jimenez-Riera G 164 , Jimenez-Vega J 164 , Cuellar JAN 164 , Campos-Serra A 165 , Muñoz-Campaña A 165 , Gràcia-Roman R 165 , Alegre JM 166 , Pinto FL 166 , O'Sullivan SN 166 , Antona FB 167 , Jiménez BM 167 , López-Sánchez J 167 , Carmona ZG 168 , Fernández RT 168 , Sierra IB 168 , de León LRG 169 , Moreno VP 169 , Iglesias E 169 , Cumplido PL 170 , Bravo AA 170 , Simó IR 171 , Domínguez CL 171 , Caamaño AG 171 , Lozano RC 172 , Martínez MD 172 , Torres ÁN 172 , de Quiros JTMB 173 , Pellino G 174 , Cloquell MM 174 , Moller EG 174 , Jalal-Eldin S 175 , Abdoun AK 175 , Hamid HKS 175 , Lohsiriwat V 176 , Mongkhonsupphawan A 176 , Baraket O 177 , Ayed K 177 , Abbassi I 177 , Ali AB 178 , Ammar H 178 , Kchaou A 179 , Tlili A 179 , Zribi I 179 , Colak E 180 , Polat S 180 , Koylu ZA 180 , Guner A 181 , Usta MA 181 , Reis ME 181 , Mantoglu B 182 , Gonullu E 182 , Akin E 183 , Altintoprak F 183 , Bayhan Z 183 , Firat N 183 , Isik A 184 , Memis U 184 , Bayrak M 185 , Altıntaş Y 185 , Kara Y 186 , Bozkurt MA 186 , Kocataş A 186 , Das K 187 , Seker A 187 , Ozer N 187 , Atici SD 188 , Tuncer K 188 , Kaya T 188 , Ozkan Z 189 , Ilhan O 189 , Agackiran I 189 , Uzunoglu MY 190 , Demirbas E 190 , Altinel Y 191 , Meric S 191 , Hacım NA 191 , Uymaz DS 192 , Omarov N 192 , Balık E 192 , Tebala GD 193 , Khalil H 193 , Rana M 193 , Khan M 194 , Florence C 194 , Swaminathan C 194 , Leo CA 195 , Liasis L 195 , Watfah J 195 , Trostchansky I 196 , Delgado E 196 , Pontillo M 196 , Latifi R 197 , Coimbra R 198 , Edwards S 198 , Lopez A 198 , Velmahos G 199 , Dorken A 199 , Gebran A 199 , Palmer A 200 , Oury J 200 , Bardes JM 200 , Seng SS 201 , Coffua LS 201 , Ratnasekera A 201 , Egodage T 202 , Echeverria-Rosario K 202 , Armento I 202 , Napolitano LM 203 , Sangji NF 203 , Hemmila M 203 , Quick JA 204 , Austin TR 204 , Hyman TS 204 , Curtiss W 205 , McClure A 205 , Cairl N 205 , Biffl WL 206 , Truong HP 206 , Schaffer K 206 , Reames S 206 , Banchini F 207 , Capelli P 207 , Coccolini F 208 , Sartelli M 209 , Bravi F 210 , Vallicelli C 100 , Agnoletti V 100 , Baiocchi GL 211 , Catena F 100

Affiliations 

  • 1 Department of Emergency Surgery, Maggiore Hospital, Parma, Italy
  • 2 General Surgery Unit, Maggiore Hospital, Parma, Italy. mario.giuffrida4@gmail.com
  • 3 Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates
  • 4 Division of Trauma Surgery, School of Medical Sciences, University of Campinas, Campinas, Brazil
  • 5 General Surgery Department, UO Chirurgia Generale, ASST Cremona, Cremona, Italy
  • 6 Department of General Surgery, Singapore General Hospital, Singapore, Singapore
  • 7 General Surgery Unit, Maggiore Hospital, Parma, Italy
  • 8 General Surgery Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
  • 9 Department of Visceral, Transplant and Thoracic Surgery, Medical University of Innsbruck, Innsbruck, Austria
  • 10 Division of Visceral Surgery, Department of General Surgery, Medical University of Vienna, Vienna, Austria
  • 11 Faculdade de Medicina, SUPREMA, Hospital Universitario Terezinha de Jesus de Juiz de Fora, Juiz de Fora, MG, Brazil
  • 12 Medical Course, Department of Surgery - Emergency Surgery and Trauma Sector, Padre Albino University Center, Catanduva, Brazil
  • 13 Grupo Surgical, Campinas, Brazil
  • 14 Hospital Vivalle, São José Dos Campos, Brazil
  • 15 UMHAT Eurohospital-Plovdiv/Medical University Plovdiv, Plovdiv, Bulgaria
  • 16 Trauma and Acute Care Surgeon Hospital Rafael Angel Calderón Guardia, San José, Costa Rica
  • 17 General Hospital Zabok and Croatian War Veteran Hospital Bracak, Zabok, Croatia
  • 18 Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia
  • 19 Department of General and Bariatric Surgery, American Hospital in Paris, Paris, France
  • 20 Emergency and General Minimally Invasive Surgery, Poissy and St Germain Hospital, Poissy, France
  • 21 Department of Emergency and General Minimally Invasive Surgery, Academic Hospital of Villeneuve St Georges, Villeneuve-Saint-Georges, France
  • 22 Colorectal Center, Groupe Hospitalier Privé Ambroise Paré-Hartmann, Neuilly/Seine, France
  • 23 Department of Colorectal Surgery, Pôle Des Maladies de L'Appareil Digestif (PMAD), Beaujon Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
  • 24 Hôpital Henri Mondor, Créteil, France
  • 25 Hôpital Léon Binet, Provins, France
  • 26 Department of Visceral Surgery CHU Angers, 4 Rue Larrey, 49933, Angers Cedex 9, France
  • 27 N.Kipshidze Central University Hospital, Tbilisi, Georgia
  • 28 Surgical Department, General Hospital of Larissa, Larissa, Greece
  • 29 Department of General Surgery - University Hospital of Heraklion Crete, Crete, Greece
  • 30 4th Surgical Department "Attikon" University Hospital, Chaidari, Greece
  • 31 Department of Digestive Surgery, Athens Bioclinic Hospital, Athens, Greece
  • 32 Kavala General Hospital, Kavala, Greece
  • 33 Department of Surgery, General University Hospital of Patras, Patras, Greece
  • 34 Third Department of Surgery, Tzaneio General Hospital, Piraeus, GR, Greece
  • 35 2nd Department of Surgery, Athens Naval and Veterans Hospital, Athens, Greece
  • 36 Evangelismos General Hospital, Athens, Greece
  • 37 Surgical Oncology Department of Agios Savvas Anticancer Hospital of Athens, Athens, Greece
  • 38 Aretaieio University Hospital, Athens, Greece
  • 39 Department of Surgery, Hippocration General Hospital of Athens, University of Athens, Athens, Greece
  • 40 1st Propaedeutic Department of Surgery, Hippocratio Hospital of Athens, Athens, Greece
  • 41 First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece
  • 42 National and Kapodistrian University of Athens, Athens, Greece
  • 43 4th Department of Surgery, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, General Hospital "George Papanikolaou", Thessaloniki, Greece
  • 44 2n, Department of Surgery, General Hospital of Chania "St George", Chania, Greece
  • 45 Department of Surgery, Maulana Azad Medical College, New Delhi, India
  • 46 Department of Gastrointestinal Surgery, Synergy Institute of Medical Sciences, Dehradun, India
  • 47 General Surgery and Trauma Unit Hadassah Hebrew University Medical Center, Jerusalem, Israel
  • 48 Chirurgia d'Urgenza Policlinico Universitario di MonserratoAzienda Ospedaliero Universitaria di Cagliari, Cagliari, Italy
  • 49 Chirurgia "M.Rubino" Azienda Ospedaliero Universitaria Policlinico Bari, Bari, Italy
  • 50 Unit of General and Emergency Surgery, Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University Hospital Policlinico "P. Giaccone, University of Palermo - Palermo, Palermo, Italy
  • 51 General Surgery Unit and Organ Transplant Unit, University Hospital of Catania, Catania, Italy
  • 52 SOC Chirurgia Generale - ASL VCO (Piemonte), Verbania, Italy
  • 53 Unità Operativa Chirurgia Generale ProvincialeAzienda USL di Ferrara, Ferrara, Italy
  • 54 Surgery Unit, National Institute of Gastroenterology 'S. de Bellis', Research Hospital, Castellana Grotte, BA, Italy
  • 55 Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari - Dept of Emergency and Organ Transplantation, Bari, Italy
  • 56 Department of General and Emergency Surgery, San Filippo Neri Hospital, Rome, Italy
  • 57 Chirurgia Generale d'Urgenza e PS - AOU Città della Salute e della Scienza di Torino, Presidio San Giovanni Battista - Molinette, Turin, Italy
  • 58 Chirurgia Generale 2 ASST Spedali Civili di Brescia, Brescia, Italy
  • 59 Chirurgia Generale PO Valle d'Itria ASL TA, Martina Franca, Italy
  • 60 Unità Operativa di Chirurgia Generale Ospedale di Rho - ASST Rhodense, Milan, Italy
  • 61 General Surgery Unit, Department of Biomedical and Clinical Sciences "L. Sacco", University of Milan, AAST Fatebenefratelli Sacco, Milan, Italy
  • 62 General Surgery Unit, University of Milan, ASST Vimercate, Via Santi Cosma e Damiano 16, 20871, Vimercate, Italy
  • 63 Unità Operativa Complessa di Chirurgia Generale, Presidio Ospedaliero "A. Perrino", Brindisi, Italy
  • 64 Ospedale Vittorio Emanuele III Carate Brianza, Carate Brianza, Italy
  • 65 UOC Chirurgia Generale e Terapie Oncologiche Avanzate Ospedale Morgagni-Pierantoni AUSLRomagna, Via Carlo Forlanini 34, 47121, Forlì, Italy
  • 66 UOC ChirurgiaOspedale Provinciale "C. E G. Mazzoni" Ascoli Piceno, Area Vasta 5, Regione Marche, Italy
  • 67 Santa Croce and Carle Hospital, Cuneo, Italy
  • 68 Dipartimento di Specialità Chirurgiche, Azienda Ospedaliera "Pugliese-Ciaccio" di Catanzaro, Catanzaro, Italy
  • 69 Department of General Surgery, ULSS 6 Euganea, CittadellaPadua, Italy
  • 70 Chirurgia Generale Ospedale "Di Venere", Bari, Italy
  • 71 Chirurgia d'Urgenza ospedale Brotzu - ARNAS, Palermo, Italy
  • 72 University of Milan, IRCCS Policlinico San Donato, Milan, Italy
  • 73 Dipartimento di Chirurgia Generale 2 e D'Urgenza dell'Arcispedale Santa Maria Nuova - Ausl RE IRCCS, Reggio Emilia, Italy
  • 74 U.O. di Chirurgia Videolaparoscopica della AOU Policlinico di Bari, Bari, Italy
  • 75 Department of General Surgery, Santa Maria della Misericordia Hospital, AULSS5 Polesana - Rovigo, Rovigo, Italy
  • 76 Chirurgia A e d'Urgenza IRCCS Ospedale Maggiore Bologna Largo, Bartolo Nigrisoli 2, 40133, Bologna, Italy
  • 77 UOC Chirurgia Endoscopica - AOU Federico II Di Napoli, Naples, Italy
  • 78 UOC Chirurgia d'Urgenza AOU San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy
  • 79 SC Chirurgia Generale, ASUGI - Ospedale San Giovanni di Dio, Gorizia, Italy
  • 80 Clinica Chirurgica, Cattinara University Hospital, ASUGI Trieste, Trieste, Italy
  • 81 SS Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy
  • 82 University Hospital of Ferrara, Ferrara, Italy
  • 83 Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma - Università Cattolica del Sacro Cuore, Rome, Italy
  • 84 Department of Surgery, San Carlo Borromeo Hospital, ASST Santi Paolo e Carlo, Milan, Italy
  • 85 Department of Surgery and Traumatology-General Surgery Unit, "Lorenzo Bonomo Hospital"-ASL BAT, Andria, Italy
  • 86 Chirurgia Generale PO Santissima Trinità - ASL Cagliari, Cagliari, Italy
  • 87 Chirurgia GeneraleOspedale Sant'Anna di AUSL di Reggio Emilia, Reggio Emilia, Italy
  • 88 Division of General Surgery, ASST Valle Olona, Busto Arsizio, Italy
  • 89 S.C. Chirurgia Generale, S. Andrea Hospital - ASL 5, La Spezia, Italy
  • 90 Acute Care Surgery Unit, Ospedale G. Da Saliceto, Piacenza, Italy
  • 91 Chirurgia Generale dell'Ospedale Sant'Anna di San Fermo della Battaglia, San Fermo Della Battaglia, Italy
  • 92 U.O. Chirurgia Generale PO Trapani, Bergamo, Italy
  • 93 Uoc Chirurgia Ospedale Santa Maria degli Angeli Adria, Adria, Italy
  • 94 U.O.C. Chirurgia Generale 1 IRCCS Policlinico San Matteo Pavia, University of Pavia, Pavia, Italy
  • 95 Department of General and Emergency Surgery - "Vito Fazzi" Hospital, Lecce, Italy
  • 96 General and Emergency Surgery Unit, Emergency Dept, Ospedale Santo Spirito in Sassia, 00193, Rome, Italy
  • 97 G.Fornaroli" Hospital, Magenta ASST Ovest Milanese, Milan, Italy
  • 98 San Marco Hospital GSD, Zingonia, BG, Italy
  • 99 Unità di Chirurgia GeneraleOspedale Pederzoli, Peschiera del Garda, VR, Italy
  • 100 Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy
  • 101 S.C. Chirurgia Generale ed Epatobiliopancreatica, E.O. Ospedali Galliera, Mura delle Cappuccine 14, 16128, Genoa, Italy
  • 102 ASST Cremona, Cremona, Italy
  • 103 Colorectal Surgery Unit, Fondazione Policlinico Campus Bio-Medico, Università Campus Bio-Medico di Roma, Rome, Italy
  • 104 S.C. Chirurgia Generale Ospedale Di Gardone Val Trompia - ASST Spedali Civili, Brescia, Italy
  • 105 Unit of Critical Care Surgery and Trauma-Trauma Team University Hospital Careggi, Florence, Italy
  • 106 ASST Monza, Chirurgia 1, Monza, Italy
  • 107 Ospedale Santa Maria delle Croci Ravenna Reparto di Chirurgia d'Urgenza, Ravenna, Italy
  • 108 UOC Chirurgia GeneraleOspedale Fatebenefratelli e Oftalmico, ASST Fatebenefratelli Sacco, Milan, Italy
  • 109 General Surgery Unit, San Paolo Hospital, Civitavecchia, Italy
  • 110 Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
  • 111 General Surgery Unit, Infermi Hospital, Rimini, Italy
  • 112 IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy
  • 113 University of Naples "Federico II", Naples, Italy
  • 114 General Surgery,Emergencies and New Technologies, Baggiovara Civil Hospital Modena, Baggiovara, Italy
  • 115 General Surgery, Ospedale Papa Giovanni XXIII, ASST Papa Giovanni XXIII, Bergamo, Italy
  • 116 Chirurgia Generale e OncologicaOsp. Mauriziano - Torino, Turin, Italy
  • 117 General Surgery Unit - ASST Valtellina e Alto Lario, Sondrio Hospital - Sondrio, Sondrio, Italy
  • 118 Chiba Emergency Medical Center, Chiba, Japan
  • 119 Tenwek Hospital, Bomet, Kenya
  • 120 Department of Surgery Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania
  • 121 Clinic of Gastroenterology, Nephrourology, and Surgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
  • 122 Department of Surgery, School of Medical Sciences and Hospital, Universiti Sains Malaysia, Gelugor, Malaysia
  • 123 Department of General Surgery, Hospital Sultan Ismail Petra, Kuala Krai, Kelantan, Malaysia
  • 124 Departamento de Cirugía Gastrointestinal y Enfermedades Digestivas "DR DANIEL RIOS CRUZ". Hospital Center Vista Hermosa, Cuernavaca Morelos, México
  • 125 Hospital Regional de Alta Especialidad del Bajio, León, Mexico
  • 126 Hospital Santo Tomás, Panamá City, Panamá
  • 127 Department of General Surgery, Jagiellonian University Medical College, Krakow, Poland
  • 128 Department of General, Oncological, Metabolic and Thoracic Surgery, Military Institute of Medicine, Warsaw, Poland
  • 129 Centro Hospitalar de Vila Nova de Gaia e Espinho, EPE, Vila Nova de Gaia, Portugal
  • 130 Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal
  • 131 Unidade Local de Saúde do Nordeste, EPE; Serviço de Cirurgia Geral, Bragança, Portugal
  • 132 CHTMAD - Portugal,, Vila Real, Portugal
  • 133 General Surgery Grupo Trofa Saúde, Porto, Portugal
  • 134 General Surgery Department, Centro Hospitalar Barreiro Montijo, E.P.E., Barreiro, Portugal
  • 135 Centro Hospitalar Universitário do Algarve - Unidade de Faro, Faro, Portugal
  • 136 Carol Davila University of Medicine and Pharmacy Bucharest and Elias University Emergency Hospital Bucharest, Bucharest, Romania
  • 137 Department of Abdominal Surgery, Vladimir City Emergency Hospital, Vladimir, Russia
  • 138 Department of Surgical Diseases No. 3, Gomel State Medical University, University Clinic, Gomel, Belarus
  • 139 Pirogov Medical University Research Institute of Clinical Surgery, Moscow, Russia
  • 140 Forth Valley Royal Hospital, Larbert, Scotland, UK
  • 141 4t, Department of Surgery, University Hospital Bratislava, Bratislava, Slovakia
  • 142 1s, Department of Surgery, UPJS and UNLP Kosice, Kosice, Slovak Republic
  • 143 Gastrointestinal Surgery Department, Hospital Clinic de Barcelona, C/Villarroel 170, 08036, Barcelona, Spain
  • 144 Policlinico Umberto I University Hospital - Sapienza University of Rome, Rome, Italy
  • 145 Division of Surgical Oncology and Digestive Surgery, Department of Oncology, San Luigi University Hospital, University of Turin, 10043, Orbassano (Turin), Italy
  • 146 Ospedale Civile Spirito Santo, Pescara, Italy
  • 147 Emergency Surgery Unit, Hospital Virgen del Rocío, Seville, Spain
  • 148 General and Colorectal Surgeon, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
  • 149 General and Digestive Surgery. Virgen de la Arrixaca University Hospital (IMIB-Arrixaca), Murcia, Spain
  • 150 Emergency Surgery Unit, University Hospital of Gran Canaria Dr Negrin, Las Palmas de Gran Canaria, Spain
  • 151 Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain
  • 152 Colorectal Surgery, Badajoz University Hospital, Badajoz, Spain
  • 153 Donostia University Hospital, San Sebastián, Spain
  • 154 Emergency Surgery Unit, Department of General Surgery, Hospital del Mar, Barcelona, Spain
  • 155 Department of Surgery, Miguel Servet University Hospital, Saragossa, Spain
  • 156 Hospital Clínico San Carlos in Madrid, Madrid, Spain
  • 157 Hospital Universitari Son Llàtzer, Palma, Spain
  • 158 Hospital General Universitario Gregorio Marañón, Madrid, Spain
  • 159 Hospital General Universitario de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, Spain
  • 160 Hospital Arnau de Vilanova, Lleida, Cataluña, Spain
  • 161 Trauma and Emergency Surgery Unit General, Digestive and Transplantation Department, University Regional Hospital Málaga, Málaga, Spain
  • 162 Colorectal and Gastrointestinal Department Hospital General Universitario de Elche Universidad Miguel Hernández, Elche, Alicante, Spain
  • 163 Department of General and Digestive Surgery. Hospital, Universitario Doctor Peset, Valencia, Spain
  • 164 Hepatobiliar and Pancreatic Surgery Unit General and Digestive Surgery University Hospital Virgen de Valme, Seville, Spain
  • 165 Emergency Surgery Unit at Hospital Universitari Parc Tauli, Sabadell, Spain
  • 166 General and Colorectal Surgeon, Hospital Universitario Infanta Sofia Madrid, Madrid, Spain
  • 167 General Surgery Service of the University Hospital of Salamanca, Salamanca, Spain
  • 168 Hospital Universitario Torrecardenas Almeria, Almeria, Spain
  • 169 Hospital Universtario Puerta de Hierro, Madrid, Spain
  • 170 Hospital Universitario de Cabueñes Gijón, Asturias, Spain
  • 171 HPB and Transplantation Unit, Head of Emergency Surgery Unit, Seville, Spain
  • 172 General and Digestive Surgery Department, Reina Sofía University Hospital, Cordoba, Spain
  • 173 Hospital Central de la Defensa Gómez Ulla, Madrid, Spain
  • 174 Colorectal Surgery, Vall d'Hebron University Hospital, Barcelona, Spain
  • 175 Department of Sugery, Almoalem Medical City, Khartoum, Sudan
  • 176 Colorectal Surgery Unit, Department of Surgery and Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand
  • 177 Department of General Surgery Bizerte Hospital, Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia
  • 178 Department of Gastrointestinal Surgery, Sahloul Hospital, Sousse, Tunis, Tunisia
  • 179 Sfax Medical School, Tunis, Tunisia
  • 180 Samsun Training and Research Hospital Colak, Samsun, Turkey
  • 181 Department of General Surgery, Division of Upper GI Surgery and Institute of Medical Science, Department of Biostatistics and Medical Informatics, Trabzon, Turkey
  • 182 Department of General Surgery, Sakarya University Training and Research Hospital, Sakarya, Turkey
  • 183 Department of General Surgery, Sakarya University Faculty of Medicine, Sakarya, Turkey
  • 184 General Surgery Clinic, School of Medicine, Erzincan Binali Yıldırım University, Erzincan, Turkey
  • 185 Private Ortadogu Hospital Adana, Adana, Turkey
  • 186 General Surgery Clinic, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey
  • 187 University of Health Sciences, Adana City Training and Research Hospital, Adana, Turkey
  • 188 Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, İzmir, Turkey
  • 189 Department of General Surgery Elazig, Elazig Health Practice and Research Center, Elazig, Turkey
  • 190 Department of General Surgery, Bursa Kestel State Hospital, Kestel, Turkey
  • 191 Department of General Surgery, Bagcilar Training and Research Hospital University of Health Science, Istanbul, Turkey
  • 192 Department of General Surgery, Koç University Hospital, Istanbul, Turkey
  • 193 John Radcliffe Hospital Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  • 194 Brighton and Sussex University Hospitals, Brighton, UK
  • 195 Northwick Park and St Mark's Hospital - London North West NHS Trust, Harrow, UK
  • 196 Hospital de ClínicasClínica Quirúrgica ¨F¨, Montevideo, Uruguay
  • 197 Department of Surgery, School of Medicine, Westchester Medical Center, New York Medical College, Valhalla, USA
  • 198 Comparative Effectiveness and Clinical Outcomes Research Center, Riverside University Health System Medical Center, Moreno Valley, CA, USA
  • 199 Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
  • 200 Division of Trauma, Acute Care Surgery and Surgical Critical Care, Department of Surgery, West Virginia University, Morgantown, USA
  • 201 Crozer-Chester Medical Center, Upland, PA, USA
  • 202 Cooper University Hospital, Camden, NJ, USA
  • 203 University of Michigan, Ann Arbor, USA
  • 204 Department of Surgery, University of Missouri, Columbia, USA
  • 205 . Joseph Mercy, Ann Arbor, MI, USA
  • 206 Scripps Memorial Hospital La Jolla, San Diego, USA
  • 207 Department of General Surgery, Ospedale Guglielmo da Saliceto, 29100, Piacenza, Italy
  • 208 General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy
  • 209 Department of Surgery, Macerata Hospital, Macerata, Italy
  • 210 Healthcare Administration, Santa Maria Delle Croci Hospital, AUSL Romagna, Ravenna, Italy
  • 211 General Surgery, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy
World J Emerg Surg, 2024 Apr 16;19(1):14.
PMID: 38627831 DOI: 10.1186/s13017-024-00543-w

Abstract

BACKGROUND: Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann's procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute left-sided colonic emergencies and the factors that leading to the choice of treatment, comparing HP and RPA.

METHODS: This is a prospective, international, multicenter, observational study registered on ClinicalTrials.gov. A total 1215 patients with left-sided colonic emergencies who required surgery were included from 204 centers during the period of March 1, 2020, to May 31, 2020. with a 1-year follow-up.

RESULTS: 564 patients (43.1%) were females. The mean age was 65.9 ± 15.6 years. HP was performed in 697 (57.3%) patients and RPA in 384 (31.6%) cases. Complicated acute diverticulitis was the most common cause of left-sided colonic emergencies (40.2%), followed by colorectal malignancy (36.6%). Severe complications (Clavien-Dindo ≥ 3b) were higher in the HP group (P 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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