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2015 | 87 | 1 | 31-34
Article title

Evaluation of the Early Results of a Loop Stoma with a Plastic Rod in Comparison to a Loop Stoma Made with a Skin Bridge

Content
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Languages of publication
EN
Abstracts
EN
Loop stoma allows reducing the percentage of anastomotic leak and re-operation caused bythis complication. Our department has performed the loop stoma on a skin bridge since 2011.The aim of the study was to evaluate the early results of treatment after the skin bridge loop stoma creation in comparison with the stoma made on a plastic rod. Both groups had 20 patients.Material and methods. The study involved 40 patients with ileostomy, operated 2010-2013. We evaluated 20 patients with a loop ileostomy on a plastic rod, compared to 20 other patients with a skinbridge ileostomy. The study included 24 men and 16 women. Median age was 68.3. All evaluated patients were previously operated due to rectal cancer.Results. It has been shown that the surgical site infection is more common in the group with a plastic rod (5 vs 1 patient). Inflammation of the skin around the stoma occurred in 18 patients (90%) in the first group, while no such complication was found in patients in the second group. The average number of exchanged ostomy wafers was 2,9 per weekin the first group of patients, and 1,1 in the second group (p 0,05).Conclusions. The creation of the skin bridge stoma allows for tight fit of the ostomy appliance immediately after surgery completion. The equipment has stable and long-lasting contact with the skin, no skin inflammatory changes occur. Also the surgical site infection rates are lower in this group of patients. As perioperative patient does not require an increased number of ostomy appliance, the cost of treatment can be considered as an important aspect.
Publisher

Year
Volume
87
Issue
1
Pages
31-34
Physical description
Dates
online
1 - 3 - 2015
received
18 - 1 - 2015
Contributors
author
author
  • Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki
  • Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki
  • Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki
  • Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki
  • Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki
  • Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki
author
  • Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki, lukasz.dziki@wp.pl
References
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  • 8. Bugiantella W, Rondelli F, Mariani L et al.: Traditional lateral ileostomy versus percutaneous ileostomy by exclusion probe for the protection of extraperitonealcolo-rectal anastomosis: The ALPPI (Anastomotic Leak Prevention by Probe Ileostomy) trial. A randomized controlled trial. ESJO 2014; 40: 476-83.[WoS]
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Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0014
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