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Understanding Hartmann’s Reversal Surgery

Reverse Hartmann’s procedure reconnects the separated parts of the large bowel. This allows you to go to the toilet normally again and no longer need to use a stoma. Your doctor might recommend this surgery if they believe it’s safe to rejoin the sections of your bowel.

This type of surgery is typically recommended for patients who have recovered well from the initial Hartmann operation and have no complications that would prevent successful bowel reconnection. The surgery aims to improve the patient’s quality of life by restoring normal digestive functions.

Hartmann’s Reversal Treats:

Check IconPatients with a previous Hartmann procedure
Check IconTemporary stomas
Check IconDiscomfort and inconvenience from a stoma
Check IconRestoration of normal bowel function
 

Understanding Hartmann’s Reversal Surgery

Reverse Hartmann’s procedure reconnects the separated parts of the large bowel. This allows you to go to the toilet normally again and no longer need to use a stoma. Your doctor might recommend this surgery if they believe it’s safe to rejoin the sections of your bowel.

This type of surgery is typically recommended for patients who have recovered well from the initial Hartmann operation and have no complications that would prevent successful bowel reconnection. The surgery aims to improve the patient’s quality of life by restoring normal digestive functions.

Hartmann’s Reversal Treats:

Check IconPatients with a previous

Hartmann procedure
Check IconTemporary stomas
Check IconDiscomfort and inconvenience

from a stoma
Check IconRestoration of normal bowel function

How Does the Reverse Hartmann’s Procedure Work?

The reverse Hartmann’s procedure reconnects two parts of the bowel. First, the surgeon frees the colostomy (a temporary opening in the abdomen) from the skin and trims it to create a fresh end. Then, they do the same to the other end of the bowel that was left inside and join the two ends together.

Sometimes, the surgeon wants to give the new connection more time to heal, so they create a temporary opening called an ileostomy. This allows waste to pass out of the body into a stoma bag, giving the new connection time to heal. A few months later, the surgeon will close the ileostomy in a second operation.

The surgery takes around 2-3 hours under general anaesthesia and is often done in an emergency. Afterwards, it may take a few days for the bowel to start working again, and bowel movements can be unpredictable. However, with time, bowel control may improve. It’s essential to follow the surgeon’s instructions to ensure a smooth recovery.

Treatment At a Glance

Purpose

Purpose

Restore normal bowel function
Procedure Duration

Procedure Duration

2-3 Hours
Anaesthesia

Anaesthesia

General

Purpose

Restore normal bowel function

Pain

Moderate to severe

Procedure Duration

2-3 Hours

Recovery Time

3 Months

Drive

After 3 weeks

Anaesthesia

General

Recovery Time

Recovery Time

3 Months
Pain

Pain

Moderate to severe
Drive

Drive

After 3 weeks

Benefits of Hartmann’s Reversal Surgery

Restoration of Normal Function

The surgery allows the patient to pass stool naturally and reduces the need for a stoma.

Improved Quality of Life

Reconnecting the bowel improves comfort and convenience, enhancing daily life.

Faster Healing

Proper reconnection and care can lead to faster recovery and restoration of normal bowel function.

Reduced Risk of Complications

A successful reversal reduces the long-term risks associated with a permanent stoma.

Shorter Hospital Stay

Advancements in surgical techniques allow for a shorter hospital stay compared to the initial Hartmann’s reversal.

Enhanced Bowel Function

Patients often experience improved bowel control and regularity after a successful Hartmann's Reversal.

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Cost of Hartmann's Reversal

Consultations start at £200. Please request a callback by filling out the contact form. We look forward to assisting you!

Why Choose Leicester Bowel Clinic?

At Leicester Bowel Clinic, we focus on bowel health and conditions, digestive issues, and cancer care. Our clinic offers minimally invasive procedures for bowel problems, ensuring effective results and patient comfort. We aim to provide personalised care for our patients and offer the latest treatments for hernias, bowel conditions and rectal disorders

Our Locations

Leicester Bowel Clinic at Spire Hospital

  • Wednesdays evenings (Mr Runau) from 6:00 pm until 9:00 pm at: Spire Leicester Hospital Gartree Road Leicester LE2 2FF
  • To arrange an appointment directly with the Spire Leicester Hospital, please call the booking line on 0116 2653685

*Free on-site parking is available.

Meet The Team

Sanjay Chaudhri

Mr Sanjay Chaudhri

Francois Runau

Mr Francois Runau

Pippa Powley

Pippa Powley

Rebecca West

Rebecca West

FAQs

Frequently Asked Questions about Hartmann’s Reversal Surgery

01. How should I prepare for Hartmann’s Reversal surgery?

If you smoke, quitting now can reduce your chances of having complications and improve your overall health in the long run. Try to keep a healthy weight because being overweight can make you more likely to have complications.

Regular exercise can help you prepare for surgery, aid in recovery, and improve your long-term health. Before starting any exercise, asking your healthcare team or doctor for advice is a good idea.

02. What are the major complications associated with Hartmann’s procedure?

Below are some major complications associated with Hartmann’s procedure:
  • Chest infection
  • Continued bowel paralysis
  • Pulmonary embolism (blood clot in the lung)
  • Anastomotic leak
  • Diarrhoea
  • Bleeding
  • Thrombosis (blood clot in the leg)
  • Wound infection
  • Tissues joining together in an abnormal way
  • Damage to other structures inside the abdomen

03. What should I do if I experience Hartmann’s procedure complications?

Here are some things you can do to lower the chance of having problems:
  1. Try not to touch the place where you had surgery.
  2. Try to start moving around soon after the surgery.
  3. Do breathing exercises that go deep into your lungs.
  4. Eat food that has lots of protein and vitamins.
  5. Move your legs while in bed or sitting in a chair.

04. What is Hartmann's reversal recovery time?

It’s normal for your stomach to not work for a few days. You might be able to leave the hospital after 5 to 10 days. It could take up to 3 months to return to your usual routine. Doing regular exercise should help you get back to your normal routine faster. Before exercising, it’s a good idea to ask the healthcare team or your doctor for advice. Most people get better after this kind of surgery.

05. Can I drive myself home after Hartmann's procedure reversal?

It’s not safe for you to drive yourself home after your procedure. Please plan for someone to take you up from the hospital. You’ll need help with cooking, shopping, and housework for about a week after your surgery.
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