Erschienen in:
01.09.2014 | Trick of the Trade
Skin bridge loop ileostomy: technical details
verfasst von:
U. Pace, D. Rega, D. Scala, L. Montesarchio, P. Delrio
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 9/2014
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Excerpt
Anastomotic leak is the most feared complication after low anterior resection, with a reported incidence of 12–39 % and an associated risk of mortality of 2–24 % [
1,
2]. A diverting ileostomy should be always considered after low rectal tumor surgery, difficult pelvic dissection, complicated anastomotic construction [
3,
4] and above all in patients treated with preoperative chemoradiation. Loop ileostomy is usually constructed using a plastic rod to secure and prevent retraction of the stoma: This is kept in place for around 10 days until maturation occurs. During the early postoperative period, appliance fitting can be problematic and patient training is often deferred, leading to a delay in patient discharge. Moreover, rod removal can be an unpleasant and painful experience, with stoma retraction being a recognized complication following the loss of support. We here describe an alternative method for loop stoma construction, and the results in a consecutive series of patients treated for low rectal cancer. …
