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The Reversal of Stoma Following Open Abdomen Management

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Abstract

Bowel stoma formation is very often required during open abdomen (OA) management; we aim to report our stoma reversal series following OA management retrospectively. A retrospective analysis of 31 patients who underwent the reversal of the stoma created during OA management between January 2008 and September 2014 was performed. Twenty-eight of these 31 patients were included in this study. The stoma-related complications are more common after OA management during waiting time interval for reversal. At this time interval, patients with jejunostomy had more stoma-related complications than patients with ileostomy (p = 0.008) and colostomy. (p = 0.001). Waiting time interval was shorter for reversal of jejunostomy than reversal of ileostomy (p = 0.014) and colostomy (p = 0.001). Operation time for jejunostomy (p = 0.016) and colostomy reversal (p = 0.001) were significantly longer than the ileostomy reversal. There was no difference between early and late reversal of stoma regarding morbidity and mortality. The stoma-related complications are more common following OA management during waiting time interval for stoma reversal. The reversal time is more critical for this kind of patients especially with life-threatening complicated jejunostomy. For loop stoma created during OA management, the reversal may be performed after average 50 days without increasing morbidity and mortality. The reversal of end stoma created during OA management has high morbidity. If it is possible, loop stoma should be preferred during OA management.

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References

  1. Kwiatt M, Kawata M (2013) Avoidance and management of stomal complications. Clin Colon Rectal Surg 26:112–121

    Article  PubMed  PubMed Central  Google Scholar 

  2. Harris DA, Egbeare D, Jones S, Benjamin H, Woodward A, Foster ME (2005) Complications and mortality following stoma formation. Ann R Coll Surg Engl 87(6):427–431

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Formijne Jonkers HA, Draaisma WA, Roskott AM, van Overbeeke AJ, Broeders IA, Consten EC (2012) Early complications after stoma formation: a prospective cohort study in 100 patients with 1-year follow-up. Int J Colorectal Dis 27(8):1095–1099

    Article  CAS  PubMed  Google Scholar 

  4. Nastro P, Knowles CH, McGrath A, Heyman B, Porrett TR, Lunniss PJ (2010) Complications of intestinal stomas. Br J Surg 97(12):1885–1889

    Article  CAS  PubMed  Google Scholar 

  5. Engel J, Kerr L (2010) Quality of life in rectal cancer patients. A four-year prospective study. Ann Surg 238:203e13

    Google Scholar 

  6. O’Leary DP, Fide CJ, Foy C, Lucarotti ME (2001) Quality of life after low anterior resection with total mesorectal excision and temporary loop ileostomy for rectal carcinoma. Br J Surg 88:1216–1220

    Article  PubMed  Google Scholar 

  7. Thalheimer A, Bueter M, Kortuem M, Thiede A, Meyer D (2006) Morbidity of temporary loop ileostomy in patients with colorectal cancer. Dis Colon Rectum 49:1011–1017

    Article  PubMed  Google Scholar 

  8. Alves A, Panis Y, Lelong B, Dousset B, Benoist S, Vicaut E (2008) Randomized clinical trial of early versus delayed temporary stoma closure after proctectomy. Br J Surg 95(6):693–698

    Article  CAS  PubMed  Google Scholar 

  9. Menegaux F, Jordi-Galais P, Turrin N, Chigot JP (2002) Closure of small bowel stomas on postoperative day 10. Eur J Surg 168(12):713–715

    Article  PubMed  Google Scholar 

  10. Salman AE, Yetişir F, Aksoy M, Tokaç M, Yildirim MB, Kiliç M (2014) Use of dynamic wound closure system in conjunction with vacuum-assisted closure therapy in delayed closure of open abdomen. Hernia 18(1):99–104

    Article  CAS  PubMed  Google Scholar 

  11. Yetişir F, Salman AE, Aygar M, Yaylak F, Aksoy M, Yalçin A (2014) Management of fistula of ileal conduit in open abdomen by intra-condoit negative pressure system. Int J Surg Case Rep 9:385–388

    Article  Google Scholar 

  12. Danielsen AK, Correa-Marinez A, Angenete E, Skullmann S, Haglind E, Rosenberg J, SSORG (Scandinavian Outcomes Research Group) (2011) Early closure of temporary ileostomy—the EASY trial: protocol for a randomised controlled trial. BMJ Open 1(1), e000162

    Article  PubMed  PubMed Central  Google Scholar 

  13. Perez RO, Habr-Gama A, Seid VE et al (2006) Loop ileostomy morbidity: timing of closure matters. Dis Colon Rectum 49(10):1539–1545

    Article  PubMed  Google Scholar 

  14. Toro A, Ardiri A, Mannino M et al (2014) Laparoscopic reversal of Hartmann’s procedure: state of the art 20 years after the first reported case. Gastroenterol Res Pract 2014, 530140

    Article  PubMed  PubMed Central  Google Scholar 

  15. Okolica D, Bishawi M, Karas JR, Reed JF, Hussain F, Bergamaschi R (2012) Factors influencing postoperative adverse events after Hartmann’s reversal. Colorectal Dis 14(3):369–373

    Article  CAS  PubMed  Google Scholar 

  16. Mazeh H, Greenstein AJ, Swedish K et al (2009) Laparoscopic and open reversal of Hartmann’s procedure a comparative retrospective analysis. Surg Endosc 23:496–502

    Article  PubMed  Google Scholar 

  17. Golash V (2006) Laparoscopic reversal of Hartmann procedure. J Minim Access Surg 2(4):211–215

    PubMed  PubMed Central  Google Scholar 

  18. Mengual-Ballester M, García-Marín JA, Pellicer-Franco E et al (2012) Protective ileostomy: complications and mortality associated with its closure. Rev Esp Enferm Dig 104(7):350–354

    Article  PubMed  Google Scholar 

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Conflict of Interest

The authors declare that they have no competing interests.

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Authors and Affiliations

  1. General Surgery Department, Atatürk Research and Training Hospital, Ankara, Turkey

    Fahri Yetişir & Erdinç Çiftciler

  2. Anesthesiology and Reanimation Department, Research and Training Hospital, Ankara, Turkey

    AkgünEbru Şarer

  3. General Surgery Department, Bozok University, Yozgat, Turkey

    H. Zafer Acar

Authors
  1. Fahri Yetişir
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  2. AkgünEbru Şarer
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  3. H. Zafer Acar
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  4. Erdinç Çiftciler
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Correspondence to Fahri Yetişir.

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Yetişir, F., Şarer, A., Acar, H.Z. et al. The Reversal of Stoma Following Open Abdomen Management. Indian J Surg 78, 182–186 (2016). https://doi.org/10.1007/s12262-015-1336-2

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  • DOI: https://doi.org/10.1007/s12262-015-1336-2

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