Ghost Ileostomy in Advanced Ovarian Cancer: A Reliable Option

Abstract

To the extent of our knowledge, this is the first study in which GI has been performed for the treatment of patients with ovarian cancer. Ghost ileostomy represents a real option that may reduce the number of ileostomies performed in ovarian cancer without increasing the morbimortality. Ghost ileostomy presents the advantages of DI while avoiding its drawbacks. It also seems to be a safe, feasible, and reproducible technique that does not add significant costs to the surgery.

OVA-LEAK: Prognostic score for colo-rectal anastomotic leakage in patients undergoing ovarian cancer surgery

“…Regarding this fact, ghost ileostomy has been demonstrated to be a useful resource to select and not to lose the chance of protecting the anastomosis during post-operative course. Ghost ileostomy has been demonstrated to have the advantages of diverting ileostomy without its drawbacks, minimising the impact of faecal peritonitis and tailoring the number of diverting ileostomies performed without increasing morbidity and mortality in cases of anastomotic leak [9,[24][25][26]. Another handicap is the mean rate of diverting ileostomy found in our study (24.3%).…”

Anastomotic Leak in Ovarian Cancer Cytoreduction Surgery: A Systematic Review and Meta-Analysis

“…Through our systematic search, 125 unique articles were retrieved, 68 of which underwent full-text evaluation for eligibility (57 studies excluded based on title and abstract screening). Ultimately, 18 studies reporting on 4622 patients undergoing cytoreduction surgery for ovarian cancer (4278 non-AL and 344 AL patients) fulfilled the inclusion criteria and were included in our quantitative data synthesis [ 8 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ] ( Figure 1 ) [ 32 ]. Six of the studies were conducted in the United States of America, four in Germany, three in South Korea, one in the United Kingdom, one in Austria, one in Spain, one in France, and one was multicentric.…”

“…Eight studies included only those patients with ovarian cancer of stage 3 or above [ 6 , 15 , 16 , 17 , 19 , 22 , 29 , 30 ]. Five studies included patients of stage 2 and above [ 18 , 21 , 23 , 24 , 31 ]. Four studies included patients with all stages of ovarian cancer [ 8 , 25 , 26 , 27 ].…”

ECO-LEAK technique: early detection of colorectal anastomotic leakage by transvaginal ultrasound

“…1 3 Different tests can be used to diagnose leak during the post-operative period, like CT-enema or proctoscopy. 4 Nevertheless, there is no published evidence about the use of ultrasound for this purpose and its role is still to be established.…”

“…Some risk factors, such as advanced age, multiple bowel resections, low serum albumin level, and a short distance from the anastomosis to the anal verge, have been associated with increased incidence of anastomotic leak 1 3. Different tests can be used to diagnose leak during the post-operative period, like CT-enema or proctoscopy 4. Nevertheless, there is no published evidence about the use of ultrasound for this purpose and its role is still to be established.…”