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Open Access 01-12-2022 | Rectal Cancer | Research

Feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy

Authors: Hai-Quan Qin, Jian-Kun Liao, Wen-Tao Wang, Ling-Hou Meng, Zi-Gao Huang, Xian-Wei Mo

Published in: BMC Surgery | Issue 1/2022

Abstract

Objectives

To evaluate the feasibility and advantages of wedge resection plus transverse suture without mesentery detached approach applied to loop ileostomy closure by analyzing the surgical data and the incidence of postoperative complications of patients undergoing this procedure.

Methods

We performed a retrospective analysis of the hospitalization data of patients who underwent ileostomy closure surgery and met the research standards from January 2017 to April 2021 in Guangxi Medical University Cancer Hospital; all surgeries were performed by the same surgeon. The perioperative data were statistically analyzed by grouping.

Results

In total, 65 patients were enrolled in this study, with 12 in the wedge resection group, 35 in the stapler group, and 18 in the hand suture group. There was no significant difference in operation time between the wedge resection group and stapler group (P > 0.05), but both groups had shorter operation time than that in the hand suture group (P < 0.05). The postoperative exhaustion time of wedge resection group was earlier than that of the others, and cost of surgical consumables in the wedge resection group was significantly lower than that in the stapler group, all with statistically significant differences (P < 0.05). By contrast, there were no statistically significant differences in postoperative complication incidences among the three groups.

Conclusions

The wedge resection plus transverse suture without mesentery detached approach is safe and easy for closure of loop ileostomy in selected patients, and the intestinal motility recovers rapidly postoperatively. It costs less surgical consumables, and is particularly suitable for the currently implemented Diagnosis-Related Groups payment method.

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Title: Feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy
Authors: Hai-Quan Qin
Jian-Kun Liao
Wen-Tao Wang
Ling-Hou Meng
Zi-Gao Huang
Xian-Wei Mo
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Rectal Cancer
Rectal Cancer
Enterostomy
Ileostomy
Enterostomy
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-022-01661-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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