Intestinal Stoma and the Role of Defunctioning a Low Anastomosis after Anterior Resection

2013 ◽  
pp. 236-246
1996 ◽  
Vol 39 (10) ◽  
pp. 1153-1158 ◽  
Author(s):  
Olof Hallböök ◽  
Thomas E. Adrian ◽  
Johan Permert ◽  
Paul Staab

2013 ◽  
Vol 29 (2) ◽  
pp. 66 ◽  
Author(s):  
Seok In Seo ◽  
Chang Sik Yu ◽  
Gwon Sik Kim ◽  
Jong Lyul Lee ◽  
Yong Sik Yoon ◽  
...  

2005 ◽  
Vol 48 (2) ◽  
pp. 218-226 ◽  
Author(s):  
Wai Lun Law ◽  
Judy W. C. Ho ◽  
Raymond Chan ◽  
Gordon Au ◽  
Kin Wah Chu

2016 ◽  
pp. 25-31
Author(s):  
Y. A. Shelygin ◽  
S. I. Achkasov ◽  
D. V. Piliev ◽  
O. I. Sushkov

AIM. To evaluate the effectiveness of antibiotic prophylaxis in closure of preventive intestinal stomas. MATERIALS AND METHODS. In a main (I-first) group included 99 patients who did not undergo antibiotic prophylaxis (ABP). In the control (II-second) group were 96 patients who underwent ABP by a single intravenous injection of 1,2 g of amoxycillin / clavulanic acid in 30 minutes before the operation. RESULTS. The overall incidence of complications in the main and control groups was 23 (23,3 %) and 27 (27,9 %), respectively (p=0,53). Among them, the surgical site infection (SSI) was the first place in the frequency of complications: in group I in 12 (12,2 %) in group II in 11 (11,4 %) patients (p=0,35 ). Postoperative diarrhea with frequency of stools 5 or more times per day in second place infrequency, but has evolved into two less in the main than in the control group - in 4 (4,0 %), and 8 (8.3 %) patients, respectively (p=0,212). Febrile fever was detected more frequently in the first group than in the second - 6 (6,1 %) and 1 (1,0 %) cases, respectively (p=0,06). Other complications were the paresis of gastrointestinal tract (p=0,76), bleeding from the formed anastomosis area (p=0,149), pneumothorax (p=0,324), cystitis (p=0,309) and lobar pneumonia (p=0,309). There were no statistically significant complications associated with one of two groups. CONCLUSION. The results of the study not prove the effectiveness of the ABP in patients undergoing closure preventive intestinal stoma. This does not allow us to recommend its routine use. The question of prophylactic antibiotics should be taken individually, considering all the possible risks.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Audrius Dulskas ◽  
Tomas Aukstikalnis ◽  
Povilas Kavaliauskas ◽  
Narimantas E. Samalavicius

1992 ◽  
Vol 79 (10) ◽  
pp. 1082-1086 ◽  
Author(s):  
W. G. Lewis ◽  
P. J. Holdsworth ◽  
B. M. Stephenson ◽  
P. J. Finan ◽  
D. Johnston

2015 ◽  
Vol 30 (8) ◽  
pp. 1081-1089 ◽  
Author(s):  
Rachel M. Gomes ◽  
Manish Bhandare ◽  
Ashwin Desouza ◽  
Munita Bal ◽  
Avanish P. Saklani

2021 ◽  
Vol 41 (02) ◽  
pp. 131-137
Author(s):  
Mudassir Ahmad Khan ◽  
Rauf A. Wani ◽  
Asif Mehraj ◽  
Arshad Baba ◽  
Mushtaq Laway ◽  
...  

Abstract Background Colorectal resection anastomosis is the commonest cause of rectal strictures. Anastomotic site ischemia, incomplete doughnuts from stapled anastomosis and pelvic infection, are some of the risk factors that play a role in the development of postoperative rectal strictures. However, the role of diverting stoma in the development of rectal strictures has not been studied extensively. Objectives To study the difference in the occurrence of anastomotic strictures (AS) in patients submitted to low anterior resection (LAR) with covering ileostomy (CI), and to LAR without CI for carcinoma rectum. Methods This was a prospective, comparative case control study carried out at a tertiary care referral center. Low anterior resection with covering ileostomy was performed in patients with rectum carcinoma in the study group, while LAR without covering ileostomy was performed in the control group. The study group had 29 patients, while the control group had 33 patients with rectum carcinoma. Results During the mean follow-up period of 9.1months, 8 (28%) patients in the study group and 2 (6%) patients in the control group developed AS (p =0.019). Out of these 8 patients with AS in the study group, 50% had Grade-I AS, 25% had Grade-II AS, while 25% of the patients had Grade-III (severe) AS. However, both patients who developed AS in the control group had a mild type (Grade I) of AS. Conclusion Covering ileostomy increases the chances of AS formation after LAR for rectum carcinoma. Also, the SKIMS Clinical Grading of Rectal Strictures is a simple and handy tool available for every surgeon to grade, classify and monitor the postoperative rectal strictures.


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