Placement of SurgiWrap® adhesion barrier film around the protective loop stoma after laparoscopic colorectal cancer surgery may reduce the peristomal adhesion severity and facilitate the closure
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A temporary loop stoma is often created after laparoscopic colorectal cancer surgery. Peristomal adhesions may make stoma closure into a complicated operation. We demonstrated how to place the SurgiWrap® adhesion barrier film and evaluated the peristomal adhesion severity and feasibility of stoma closure.
This is a retrospective case-control study. Patients were divided into a study group (placement of adhesion barrier film) and a control group (no placement). Patient characteristics, operative data, and severity of adhesions were recorded. We used logistic regression to probe the association between the variables and the adhesion severity.
A total of 180 patients were identified with 60 in the study group and 120 in the control group. In the study group, the adhesion severity (p < 0.001), operative time (p = 0.025), and time to flatus (p = 0.042) are significantly reduced. In logistic regression analysis, placement of the film (p < 0.001), neoadjuvant concurrent chemoradiotherapy (p = 0.041), and time interval between stoma creation and closure ≧ 12 weeks (p = 0.038) are three significant factors influencing the peristomal adhesion.
The placement of SurgiWrap® adhesion barrier film around the loop stoma after laparoscopic colorectal cancer surgery may reduce the peristomal adhesion severity and facilitate the stoma closure in terms of operative time and time to flatus.
KeywordsColorectal cancer Adhesion Stoma Laparoscopy
Chao-Wen Hsu: study concept and design; acquisition of data; analysis and interpretation of data; drafting of the manuscript; statistical analysis.
Min-Chi Chang, Chih-Chien Wu, Yu-Hsun Chen: acquisition of data.
Jui-Ho Wang: critical revision of the manuscript for import and intellectual content.
This work was supported by the Kaohsiung Veterans General Hospital, Taiwan (grant KSB108-056). This work was assisted in part by the Division of Colorectal Surgery of the Department of Surgery, Kaohsiung Veterans General Hospital.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
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