Hartmann Procedure Treatment in India
About Hartmann Procedure
Key Highlights
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Life-saving intervention for acute abdominal emergencies like perforated diverticulitis or obstructing cancer.Effectively controls infection and sepsis by removing the diseased bowel segment.Eliminates the immediate risk of peritonitis and systemic illness.Allows the patient to recover from the acute illness in a stable condition.The colostomy provides a controlled outlet for waste, allowing the lower rectal stump to heal.Can be a definitive procedure for some patients, or the first step towards eventual reversal in others./ul
Who is this surgery for?
- Complicated acute diverticulitis with perforation, abscess, or fistula.
- Obstructing or perforated colorectal carcinoma.
- Severe trauma to the rectosigmoid colon.
- Ischemic colitis with necrosis.
- Inflammatory bowel disease (like Crohn's) complications not responsive to medical therapy.
- Anastomotic leak from a previous colorectal surgery.
- When a primary anastomosis (reconnection) is deemed too risky due to patient instability, poor nutrition, or heavy contamination.
How to prepare
- Emergency resuscitation with intravenous fluids and antibiotics if performed urgently.
- For planned procedures, bowel preparation with a clear liquid diet and laxatives may be used.
- Informed consent discussion, including details about the permanent colostomy.
- Pre-operative blood tests, imaging (CT scan), and cardiac evaluation.
- Consultation with an enterostomal therapist for stoma site marking and education.
- Fasting for at least 6-8 hours before surgery.
- Administration of prophylactic antibiotics just before incision.
Risks & possible complications
- General surgical risks: bleeding, infection, blood clots (DVT/PE), and adverse reactions to anesthesia.
- Injury to nearby structures like the ureter, bladder, or small intestine.
- Leakage from the closed rectal stump, leading to pelvic abscess.
- Stoma-related complications: ischemia, retraction, prolapse, hernia, or skin irritation.
- Persistent pelvic or abdominal pain.
- Long-term risks of incisional hernia at the surgical site.
- Psychological and social adjustment to living with a permanent colostomy.
Recovery & hospital stay
- Initial recovery in the hospital for monitoring of vitals, pain management, and stoma function.
- Stoma care education begins in the hospital with a nurse or therapist.
- Gradual advancement from clear liquids to a soft diet as bowel function returns.
- Incision care instructions and signs of infection to watch for.
- Pain medication and possibly antibiotics prescribed at discharge.
- Activity restrictions: no heavy lifting for 6-8 weeks to prevent hernia.
- Follow-up appointment with the surgeon and ongoing support from the stoma care team.
- For eligible patients, discussion about a potential second-stage reversal procedure (Hartmann's reversal) months later.
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Typical hospital stay:
7-14 days
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Expected recovery time:
6-8 weeks for initial recovery; 3-6 months for full recovery and strength
Frequently Asked Questions
If you are considering hartmann procedure in India, these questions and answers can help you make a confident, informed decision.
Popular choices for hartmann procedure in India include Miot Hospital Chennai, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform hartmann procedure. MediFyr helps you compare surgical gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for hartmann procedure compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 250 Thousand – 600 Thousand | 7-14 days | ~ 6-8 weeks for initial recovery; 3-6 months for full recovery and strength | Know More |
| Turkey | TRY 875 Thousand – 2.1 Million | 7-14 days | ~ 6-8 weeks for initial recovery; 3-6 months for full recovery and strength | Know More |
Top hospitals for Hartmann Procedure in India
These partner hospitals in India have dedicated surgical gastroenterology teams and experience managing patients undergoing hartmann procedure.
Chennai, India
250 DoctorsIshaan Nair, a 58-year-old accountant and...
Ishaan Nair, a 58-year-old accountant and father of two, had been managing diverticulitis for years with diet and antibiotics. A sudden, severe flare-up caused crippling abdominal pain and a high fever. A CT scan at the emergency room revealed a perforated colon and peritonitis, a life-threatening infection. His surgical gastroenterologist, Dr. Sharma, explained that the infected section of his colon needed immediate removal. The safest option was a Hartmann procedure: removing the diseased sigmoid colon, creating an end colostomy (stoma) on his abdomen, and leaving the rectum closed off inside. Ishaan was terrified, both of the emergency surgery and the prospect of a stoma. The surgery was successful in removing the infection and saving his life. His recovery in the hospital was difficult, with pain and the overwhelming task of learning to care for his new stoma with the help of an ostomy nurse. After six months of healing, Ishaan underwent a successful reversal surgery to reconnect his bowel. While he has some lingering changes in his bowel habits, he is profoundly grateful to be alive and back with his family. His emotional journey went from fear and shock at the sudden change to his body, through frustration during recovery, to eventual acceptance and deep gratitude for a second chance.
Surgical Gastroenterologists for Hartmann Procedure
Explore experienced surgical gastroenterologists who regularly perform hartmann procedure and provide pre- and post-operative care in India.
- 35 Years Experience
- Surgical Gastroenterologist
Miot Hospital Chennai, Chennai
- 10 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 33 Years Experience
- Surgical Gastroenterologist
- 19 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 17 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 11 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 12 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 30 Years Experience
- Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 25 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 29 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 18 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Hebbal, Bangalore
- 22 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, Tadigadapa, vijayawada
- 4 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, King Koti, Hyderabad
- 14 Years Experience
- Surgical Gastroenterologist