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The "Virtual ileostomy" in elective colorectal surgery: is it useful?

Marrosu, Antonio and Serventi, Fernando and Pulighe, F. and Paliogiannis, Panagiotis and Attene, Federico and Sotgiu, Giovanni and Trignano, Mario (2014) The "Virtual ileostomy" in elective colorectal surgery: is it useful? Techniques in Coloproctology, Vol. 18 (3), p. 319-320. eISSN 1128-045X. Article.

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DOI: 10.1007/s10151-012-0964-9

Abstract

Anastomotic dehiscence is a potentially lethal complication in colorectal surgery. In the literature, dehiscence rates of intraperitoneal anastomoses range from 2 to 4 % and those of low colorectal anastomoses range from 3 to 21 %. There is disagreement regarding the pathogenesis of anastomotic breakdown, and it is not possible to determine which patients will develop this complication. Some authors suggest fashioning a protective ileostomy in patients classified as "at risk", but the decision is mostly based on the surgeon’s experience. However, individuals with a protective stoma experience psychological discomfort and, furthermore, are at risk of complications related to the stoma itself and to its subsequent take down with reported morbidity rates reaching 30 %. The reduction in anastomotic breakdown and of the number of diverting stomas is actually one of the primary goals of colorectal surgery.

Item Type:Article
ID Code:9057
Status:Published
Refereed:Yes
Uncontrolled Keywords:Anastomotic dehiscence, colorectal surgery, virtual ileostomy
Subjects:Area 06 - Scienze mediche > MED/01 Statistica medica
Area 06 - Scienze mediche > MED/18 Chirurgia generale
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Biomediche
Publisher:Springer
eISSN:1128-045X
Deposited On:16 May 2013 12:03

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