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Following a sigmoid colectomy with Hartmann's procedure, the primary outcome is the creation of a colostomy. This surgery typically involves the resection of a diseased portion of the sigmoid colon, followed by the closure of the rectal stump and the formation of an ostomy, which is usually an end colostomy. In this procedure, a portion of the colon is brought out to the abdominal wall to allow for waste elimination. Hence, it is expected that the patient would have a colostomy postoperatively.

Normal bowel function may not be restored immediately because the procedure alters the normal gastrointestinal pathway. Instead, the patient often will need to adapt to living with a colostomy as their primary means of waste management. The other options, such as appendectomy scars and rectal bleeding, are not direct outcomes of this procedure. The focus remains on the colostomy as the expected result following a Hartmann's procedure.