Postoperative Outcomes of Stoma Takedown: Results of Long-term Follow-up
Autor: | Bomina Paik, Suk-Hwan Lee, Sun Jin Park, Chang Woo Kim, Kil Yeon Lee |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Ileus Incisional hernia medicine.medical_treatment Fistula Surgical wound infection RC799-869 030230 surgery Anastomosis Stoma 03 medical and health sciences Ileostomy Postoperative complications 0302 clinical medicine Colostomy medicine business.industry Gastroenterology Perioperative Diseases of the digestive system. Gastroenterology medicine.disease digestive system diseases Surgery surgical procedures operative 030220 oncology & carcinogenesis Original Article business |
Zdroj: | Annals of Coloproctology Annals of Coloproctology, Vol 34, Iss 5, Pp 266-270 (2018) |
ISSN: | 2287-9714 |
Popis: | Purpose Stoma takedown is a frequently performed procedure with considerable postoperative morbidities. Various skin closure techniques have been introduced to reduce surgical site infections. The aim of this study was to assess postoperative outcomes after stoma takedown during a long-term follow-up period. Methods Between October 2006 and December 2015, 84 consecutive patients underwent a colostomy or ileostomy takedown at our institution. Baseline characteristics and perioperative outcomes were analyzed through retrospective reviews of medical records. Results The proportion of male patients was 60.7%, and the mean age of the patients was 59.0 years. The overall complication rate was 28.6%, with the most common complication being prolonged ileus, followed by incisional hernia, anastomotic leakage, surgical site infection, anastomotic stenosis, and entero-cutaneous fistula. The mean follow-up period was 64.3 months. The univariate analysis revealed no risk factors related to overall complications or prolonged ileus. Conclusion The postoperative clinical course and long-term outcomes following stoma takedown were acceptable. Stoma takedown is a procedure that can be performed safely. |
Databáze: | OpenAIRE |
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