The Use of a Stoma Rod/Bridge to Prevent Retraction: A Systematic Review.

Autor:	Gialamas E; Eleftherios Gialamas, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Jeremy Meyer, MD, MD-PhD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Ziad Abbassi, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Sotirios Popeskou, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Nicolas Christian Buchs, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Frédéric Ris, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland., Meyer J; Eleftherios Gialamas, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Jeremy Meyer, MD, MD-PhD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Ziad Abbassi, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Sotirios Popeskou, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Nicolas Christian Buchs, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Frédéric Ris, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland., Abbassi Z; Eleftherios Gialamas, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Jeremy Meyer, MD, MD-PhD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Ziad Abbassi, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Sotirios Popeskou, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Nicolas Christian Buchs, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Frédéric Ris, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland., Popeskou S; Eleftherios Gialamas, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Jeremy Meyer, MD, MD-PhD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Ziad Abbassi, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Sotirios Popeskou, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Nicolas Christian Buchs, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Frédéric Ris, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland., Buchs NC; Eleftherios Gialamas, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Jeremy Meyer, MD, MD-PhD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Ziad Abbassi, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Sotirios Popeskou, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Nicolas Christian Buchs, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Frédéric Ris, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland., Ris F; Eleftherios Gialamas, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Jeremy Meyer, MD, MD-PhD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Ziad Abbassi, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Sotirios Popeskou, MD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Nicolas Christian Buchs, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.; Frédéric Ris, MD, PD, Division of Digestive Surgery, University Hospitals of Geneva, Geneva, Switzerland; and Unit of Surgical Research, University of Geneva, Geneva, Switzerland.
Jazyk:	angličtina
Zdroj:	Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society [J Wound Ostomy Continence Nurs] 2021 Jan-Feb 01; Vol. 48 (1), pp. 39-43.
DOI:	10.1097/WON.0000000000000730
Abstrakt:	Purpose: We evaluated evidence related to the use of a rod (bridge) to prevent stoma retraction during loop ostomy construction. Methods: We completed a systematic review of the literature. We searched MEDLINE, EMBASE, and COCHRANE databases up to December 4, 2019. We posed the following question based on a PICO format. Do adult patients undergoing ostomy surgery experience less stomal retraction when compared to patients managed without placement of a stoma rod? Findings: Our initial search returned 182 articles; after reading studies in full, 5 articles were identified that collectively enrolled 1058 participants. Four studies were randomized controlled trials and one was a prospective cohort study. Meta-analysis could not be performed because of the small number of studies and the heterogeneity of outcomes measurements. The incidence of stoma retraction ranged between 0%-8% in patients managed with a rod and 0.78%-8.2% in patients with no rod. The number of reported adverse events was low. Placement of a stoma rod was associated with more adverse outcomes than in patients managed without a rod. Adverse events included local edema, stoma necrosis, skin necrosis, peristomal moisture-associated skin damage (irritant dermatitis), peristomal abscess, bleeding, and mucocutaneous separation. Conclusions: Stoma rod does not seem to reduce the risk of stoma retraction and might result in other adverse events. Implications: We recommend avoidance of stoma rod/bridge placement during ostomy surgery. Competing Interests: The authors have no conflicts of interest to disclose. (Copyright © 2021 by the Wound, Ostomy and Continence Nurses Society.)
Databáze:	MEDLINE
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