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Feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy
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 pe...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9161614/ https://www.ncbi.nlm.nih.gov/pubmed/35655200 http://dx.doi.org/10.1186/s12893-022-01661-5 |
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author | Qin, Hai-Quan Liao, Jian-Kun Wang, Wen-Tao Meng, Ling-Hou Huang, Zi-Gao Mo, Xian-Wei |
author_facet | Qin, Hai-Quan Liao, Jian-Kun Wang, Wen-Tao Meng, Ling-Hou Huang, Zi-Gao Mo, Xian-Wei |
author_sort | Qin, Hai-Quan |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9161614 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-91616142022-06-03 Feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy Qin, Hai-Quan Liao, Jian-Kun Wang, Wen-Tao Meng, Ling-Hou Huang, Zi-Gao Mo, Xian-Wei BMC Surg Research 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. BioMed Central 2022-06-02 /pmc/articles/PMC9161614/ /pubmed/35655200 http://dx.doi.org/10.1186/s12893-022-01661-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Qin, Hai-Quan Liao, Jian-Kun Wang, Wen-Tao Meng, Ling-Hou Huang, Zi-Gao Mo, Xian-Wei Feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy |
title | Feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy |
title_full | Feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy |
title_fullStr | Feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy |
title_full_unstemmed | Feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy |
title_short | Feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy |
title_sort | feasibility and advantages analyses of wedge resection without mesentery detached approach applied to closure of loop ileostomy |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9161614/ https://www.ncbi.nlm.nih.gov/pubmed/35655200 http://dx.doi.org/10.1186/s12893-022-01661-5 |
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