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

• Authors: Łukasz Dziki , Michł Mik , Radzisław Trzciński , Jarosław Buczyński , Justyna Darnikowska , Michał Spychalski , Anna Wierzbicka , Adam Dziki
• 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.

Keywords

EN

ileostomy; complications; skin patch; rectal cancer

• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 87
• Issue: 1
• Pages: 31-34

Dates

online

1 - 3 - 2015

received

18 - 1 - 2015

Contributors

author

Łukasz Dziki

author

Michł Mik

• Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki

author

Radzisław Trzciński

• Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki

author

Jarosław Buczyński

• Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki

author

Justyna Darnikowska

• Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki

author

Michał Spychalski

• Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki

author

Anna Wierzbicka

• Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki

author

Adam Dziki

• Department of General and Colorectal Surgery, Medical University in łódź Kierownik: prof. dr hab. A. Dziki,

References

• 1. Van de Wall BJ, Draaisma WA, Schouten ES et al.: Conventional and laparoscopic reversal of the Hartmann procedure: a review of literature. J GastrointestSurg. 2010; 14(4): 743-52.
• 2. Cohen ME, B.K., Ko CY, Hall BL: Development of an American College of Surgeons National Surgery Quality Improvement Program: morbidity and mortality risk calculator for colorectal surgery. J Am Coll Surg 2009; 208(6): 1009-10.
• 3. Hackam DJ, Rotstein OD: Stoma closure and wound infection: an evaluation of risk factors. Can J Surg. 1995; 38(2): 144-48.[PubMed]
• 4. Patil V, Vijayakumar A, Ajitha MB, Kumar SL: Comparison between tube ileostomy and loop ileostomy as a diversion procedurê. ISRN Surgery 2012; article ID 547523.
• 5. Chen J, Zhang Y, Jiang Ch et al.: Temporary ileostomy versus colostomy for colorectal anastomosis: evidence from 12 studies. Scan J Gastroenterol 2013; 48: 556-62[Crossref]
• 6. S aini P, Gaba R, Faridi MS et al.: Quality of life of patients after temporary ieostomy for ileal perforation - a questionnaire based study. Indian J Surg 2014; 76: 38-43.
• 7. Dziki Ł: Stomia pêtlowa na mostku skórnym. Technika operacyjna. Pol Przegl Chir 2014; 86(9):448-50.
• 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]
• 9. Beck S: Stoma issues in the obese patient. Clinics in Colon and Rectal Surg 2011; 24: 4.
• 10. Phatak UR, Kao LS, You YN et al.: The impact of ileostomy-related complications on the mulitidisciplinary treatment of rectal cancer. Ann Surg Oncol 2014; 21(2): 507-12.[Crossref][WoS]

Identifiers

DOI

10.1515/pjs-2015-0014