Techniques in Coloproctology

, Volume 13, Issue 3, pp 211–214

Sushi-roll wrap of Seprafilm for ileostomy limbs facilitates ileostomy closure

Authors

    • Department of SurgerySaitama Medical Center, Jichi Medical University
  • N. Kakizawa
    • Department of SurgerySaitama Medical Center, Jichi Medical University
  • K.-Y. Tan
    • Department of SurgerySaitama Medical Center, Jichi Medical University
  • K. Mizokami
    • Department of SurgerySaitama Medical Center, Jichi Medical University
  • J. Sasaki
    • Department of SurgerySaitama Medical Center, Jichi Medical University
  • S. Tsujinaka
    • Department of SurgerySaitama Medical Center, Jichi Medical University
  • T. Maeda
    • Department of SurgerySaitama Medical Center, Jichi Medical University
  • Y. Kuwahara
    • Department of SurgerySaitama Medical Center, Jichi Medical University
  • F. Konishi
    • Department of SurgerySaitama Medical Center, Jichi Medical University
Original Article

DOI: 10.1007/s10151-009-0504-4

Cite this article as:
Kawamura, Y.J., Kakizawa, N., Tan, K. et al. Tech Coloproctol (2009) 13: 211. doi:10.1007/s10151-009-0504-4

Abstract

Background

Sodium hyaluronate and carboxymethylcellulose membrane (Seprafilm) reduced postoperative intraabdominal adhesion. In this study, we examined whether Seprafilm reduces operative difficulties in ileostomy closure.

Patients and methods

During the creation of the ileostomy, Seprafilm was cut in half and used to wrap both the ileum and mesentery. Patients who underwent ileostomy closure before February 2008 (without Seprafilm, Group T, n = 18) and after March (with Seprafilm, Group S, n = 18) were enrolled in this study. All operations were performed by surgical residents. Operative time and perioperative complications were analyzed.

Results

The mean operative time of Group S (106.88 min) was significantly less than that of Group T (120.6 min). The amount of intraoperative bleeding in Groups S and T was not significantly different and there were no major complications.

Conclusion

Seprafilm applied to the two limbs of the ileostomy and mesentery facilitate ileostomy closure done by non-expert surgeons.

Keywords

IleostomyTissue adhesionsSurgical adhesions

Copyright information

© Springer-Verlag 2009