Incisional hernia after loop ileostomy closure

Melero, Alba Vázquez; Barrameda, Ventura Amador; Rico, Aida

doi:10.20960/rhh.00305

Cited by 1 publication

(3 citation statements)

References 17 publications

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“…Distal bowel and colon, which are unready to re-establish transit, cause intestinal paralysis. In this regard, several articles have been published [ 13 , 14 , 15 , 16 , 17 ], but the first systematic review was published by Rombey et al [ 9 ] in 2019, including eight studies with 267 patients. Despite the excellent initial results, there is not sufficient evidence to recommend the routine implementation of preoperative bowel stimulation in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

“…Only one study was randomized, three were unique clinical cases, and there was diversity in terms of the substance used during stimulation and its duration. Only two comparative studies found that preoperative bowel stimulation reduced the time to restoration of bowel function when compared to standard preoperative care [ 14 , 16 ]. The reduction was statistically significant with regards to the mean time to the tolerance of solid food.…”

Section: Discussionmentioning

confidence: 99%

“…The case reports results matched the comparative studies results [ 15 , 17 ]. Preoperative bowel stimulation significantly reduced the mean postoperative ileus in two comparative studies [ 14 , 16 ], by 2.1 and by 2.6 days, respectively. In the two case reports [ 15 , 17 ], the postoperative ileus was of two and four days, respectively, which is consistent with the RCT result [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

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Postoperative Ileus after Stimulation with Probiotics before Ileostomy Closure

et al. 2021

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Loop ileostomy closure after colorectal surgery is often associated with Postoperative ileus, with an incidence between 13–20%. The aim of this study is to evaluate the efficacy and safety of preoperative stimulation of the efferent loop with probiotics prior to ileostomy closure in patients operated on for colorectal carcinoma. For this, a prospective, randomized, double-blind, controlled study is designed. All patients who underwent surgery for colorectal carcinoma with loop ileostomy were included. Randomized and divided into two groups, 34 cases and 35 controls were included in the study. Postoperative ileus, the need for nasogastric tube insertion, the time required to begin tolerating a diet, restoration of bowel function, and duration of hospital stay were evaluated. The incidence of Postoperative ileus was similar in both groups, 9/34 patients stimulated with probiotics and 10/35 in the control group (CG) with a p = 0.192. The comparative analysis showed a direct relationship between Postoperative ileus after oncological surgery and Postoperative ileus after reconstruction surgery, independently of stimulation. Postoperative ileus after closure ileostomy is independent of stimulation of the ileostomy with probiotics through the efferent loop. There seem to be a relationship between Postoperative ileus after reconstruction and the previous existence of Postoperative ileus after colorectal cancer surgery.

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