THE VULKAN TECHNIQUE: A NOVEL OSTOMY-CLOSURE TECHNIQUE THAT REDUCES COMPLICATIONS AND OPERATIVE TIMES

Autor: Felix KRENZIEN, Christian BENZING, Fabian HARDERS, Tido JUNGHANS, Gyurdhan RASIM, Claudia BOTHE, Johann PRATSCHKE, Ricardo ZORRON
Jazyk: English<br />Portuguese
Rok vydání: 2017
Předmět:
Zdroj: ABCD: Arquivos Brasileiros de Cirurgia Digestiva, Vol 30, Iss 2, Pp 139-142 (2017)
Druh dokumentu: article
ISSN: 0102-6720
DOI: 10.1590/0102-6720201700020013
Popis: ABSTRACT Background: Ostomy reversals remain at high risk for surgical complications. Indeed, surgical-side infections due to bacterial contamination of the stoma lead to revision surgery and prolonged hospital stay. Aim: To describe the novel vulkan technique of ostomy reversal that aims to reduce operative times, surgical complications, and readmission rates. Methods: Ostomy closure was performed using the vulkan technique in all patients. This technique consists of external intestinal closure, circular skin incision and adhesiolysis, re-anastomosis, and closure of the subcutaneous tissue in three layers, while leaving a small secondary wound through which exudative fluid can be drained. The medical records of enterostomy patients were retrospectively reviewed from our hospital database. Results: The vulkan technique was successfully performed in 35 patients mainly by resident surgeons with
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