Summary
In order to prevent nipple-sliding of the everted small bowel, conventional Brooke ileostomies in 26 patients were stabilized on both sides of the mesentery by longitudinal rows of staples. There were no early complications. With respect to historical controls with unstapled ileostomies, late complications (retraction, prolapse) could be reduced from about 16 to 0% in a median observation time of 2 years. The ileostomies were stable in size and form and therefore appliances were facilitated.
Zusammenfassung
Zur Verhinderung von Gleitphänomenen am evertierten Dünndarm wurden bei 26 Patienten konventionelle Brooke-Ileostomien beiderseits paramesenterial mit Klammernahtreihen stabilisiert. Dabei wurden keine Frühkomplikationen beobachtet. Im Vergleich zu einem historischen Kontrollkollektiv konnten Spätkomplikationen (Retraktion, Prolaps) in einem mittleren Beobachtungszeitraum von 2 Jahren von rund 16 auf 0% reduziert wurden. Das formstabile Stoma erleichterte zusdtzlich die Versorgung.
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Ecker, K.W., Henneberger, G., Schmid, T. et al. Ileostomie — stabilisation durch staplertechnik. Langenbecks Arch Chir 376, 199–202 (1991). https://doi.org/10.1007/BF00186812
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DOI: https://doi.org/10.1007/BF00186812