Hartmann Herni Albert (1 results)
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Add to basketParis, G.Steinheil Éditeuer, 1895-1899, Gr.8°, VIII, 452 pp., 137 z.T. farb. Abbildungen, 2 farblith. Taf.; 384 pp., 74 Abbildungen im Text und 24 z.T. farblith. Tafeln, 2 Halbleinenbände der Zeit. Milestone of Proctology - the very rare first and only edition of Hartmann's famous monograph, Rudolf Ulrich Kroenlein's copy with a… stamp "Hommage de l'Editeur" on title! Henry Albert Charles Antoine Hartmann (1860-1952) would be rightly recognized as one of the great pioneers of coloproctology of the 20th Century, perhaps single-handedly changing the nature of cancer resectional practice, with the rediscovery in the 1970s of the importance of his procedure (now eponymously named) for complicated diverticular disease and selected cases of low leftsided large-bowel obstruction. This approach has been made more attractive with the advent of stapled colorectal reconstruction for the restoration of intestinal continuity whether performed open or laparoscopically assisted. His major treatise published in two volumes, is his famous Traité de la Chirurgie du Rectum (1895-1899). This was a multidisciplinary text in collaboration with fellow surgeon and anatomist Édouard Quénu and pathologist Jacques Ménétrier outlining the blood supply of the rectum and the perineal musculature and its fascial spaces. Today we recognize Hartmann for several seminal eponymous terms; for example, his gallbladder pouch which resulted from a series of meticulous dissections of the biliary tree and its arterial blood supply in 1891, a subject he subsequently revisited after his retirement. His treatise on terminal vascular anastomoses between the sigmoid arteries published in 1909 after that of Paul Sudeck on what has subsequently become known as Sudeck's point (a critical point of anastomosis between the terminal sigmoid artery and the superior rectal artery) has lost operative relevance since this critical anastomotic point of colectomy is incorporated as part of standard sigmoid and left hemicolectomy . Despite his fame, we know Henri Hartmann really for his "procedure" which he first described at the 30th Congress of the French Surgical Association in 1921. He reported two patients with obstructing sigmoid tumours and their definitive management by a procedure that we have come to know and utilize as the Hartmann's style resection, and which he reprinted from several noted congresses. This surgery was specifically standardized by Hartmann for all such cases. He advocated dissection of the rectum to the level of the pelvic floor with exposure and incision of what we now call Denonvillier's fascia in accordance with the abdominal portion of Miles' abdominoperineal resection. The rectal stump was formally closed as a cul-de-sac for the first time in two layers with closure of the pelvic peritoneum. He was the first surgeon in France to report curative pyloric resection for cancer in 1897, surgery for choledochal cyst, a series of ampulla of Vater excisions and parotidectomies, and the first successful splenectomies in France for haemolytic jaundice. He was the first in France to report surgical excision of oesophageal diverticulae, the first to describe adult hypertrophic pyloric stenosis and the first to report the surgical management of appendiceal pseudomyxoma peritonei. Over his time as Chair of Surgery at l'Hôtel-Dieu he performed. Zachary Cope declared that "probably no French surgeon has been, in his day, better known or more widely respected . with English surgeons regarding him as a man of outstanding worth with the present generation furnishing few, if any, examples of such all-round surgical proficiency". A.P. Zbar, Henri Albert Hartmann (1860-1952): colorectal master, Tech Coloproctol (2008) 12: pp.175-179.
