Abstract
Objective: To identify the main complications of intestinal tract reconstruction after Hartmann colostomy. Bibliographic review: Hartmann’s Colostomy is a procedure performed through the exteriorization of the large intestine through the abdominal wall, for the elimination of feces or gases. This intervention can be followed by the reconstruction of the continuity of the intestinal tract, through a colorectal anastomosis to reverse the procedure. Because it is an aggressive technique, its performance can cause some postoperative complications, which can make the procedure for the reconstruction of intestinal continuity unfeasible, negatively impacting the quality of life of patients. Final considerations: Although it is a simple technique and used both in elective interventions and in emergency interventions, the presence of comorbidities and the patient's age must be considered. It should also be considered that the attempt at reconstruction should not be carried out after a long time, and it is important to adopt preventive education measures in the preoperative and postoperative stages, aiming at reducing the occurrence of complications and assisting in the improvement of patients' quality of life.