COMPARATIVE EFFECTIVENESS OF AN IMPROVED INTRAOPERATIVE COMPLEX FOR PREVENTING COMPLICATIONS OF GASTROINTESTINAL STOMATES
Keywords:
intestinal stoma; colostoma; ileostoma; stomal complications; stomal retraction; parastomal hernia; prevention; surgical techniqueAbstract
The purpose of the study: to compare the effectiveness of an improved intraoperative complex to prevent complications of intestinal stoma with the standard stoma insertion technique in patients. Materials and methods: a controlled comparative cohort study was conducted in 260 patients aged ≥18 years who had an ileostomy or colostomy formed during open/laparoscopic gastrointestinal surgeries. Results: stoma retractions up to 30 days are less common in the main group: 3.0% (4/132) and 9.4% (12/128), RR=0.32; p=0.040. Any early stomal complications: 35.2% versus 18.9%, RR=0.54; p=0.003. Severe complications (Clavien–dindo ≥III): 2.3% and 8.6%, RR=0.26; p=0.028. Conclusion: an extended intraoperative complex is a repeatable and clinically effective method of reducing the frequency of retractions and parastomal hernia compared to the standard technique with an average increase in the time of the stoma stage.
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