tailieunhanh - báo cáo khoa học: "Ghost Ileostomy with or without abdominal parietal split"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Ghost Ileostomy with or without abdominal parietal split | Cerroni et al. World Journal of Surgical Oncology 2011 9 92 http content 9 1 92 5 2 WORLD JOURNAL OF SURGICAL ONCOLOGY RESEARCH Open Access Ghost Ileostomy with or without abdominal parietal split 1 1 3 1 1 1 Michele Cerroni Roberto Cirocchi Umberto Morelli Stefano Trastulli Jacopo Desiderio Mario Mezzacapo 2 11 12 2 2 Chiara Listorti Luigi Esperti Diego Milani Nicola Avenia Nino Gullà Giuseppe Noya and Carlo Boselli Abstract Background In patients who undergo low anterior rectal resection the fashioning of a covering stoma CS is still controversial. In fact a covering stoma ileostomy or colostomy is worsened by major complications related to the procedure longer recovery time necessity of a re-intervention under general anesthesia for stoma closure and poorer quality of life. The advantage of Ghost Ileostomy GI is that an ileostomy can be performed only when there is clinical evidence of anastomotic leakage without performing further interventions with related complications when anastomotic leak is absent and therefore the procedure is not necessary. Moreover in case of anastomotic dehiscence and necessity of delayed stoma opening mortality and morbidity in patients with GI are comparable with the ones that occur in patients which had a classic covering stoma. On the other hand is simple to think about the possible economic saving avoiding an admission for performing the closure of the ileostomy with all the costs connected OR hospitalization post-operative period treatment of possible complications represents a huge saving for the hospital management and also raise the quality of life of the patients. Methods In this study we prospectively analyzed 20 patients who underwent anterior extra-peritoneal rectum resection for rectal carcinoma with TME and fashioning of GI realized with or without abdominal parietal split. Results In the group of patients that received a GI without split laparotomy mortality was absent and in one case an anastomotic leak .