Impact of relationship between the stoma site and the primary incision on occurrence of laparotomy wound infection in contaminated or dirty wound operations in neonates

Inoue, Mikihiro; Uchida, Keiichi; Nagano, Yasuo; Matsushita, Kohei; Koike, Yuhki; Otake, Kohei; Okita, Yoshiki; Toiyama, Yuji; Araki, Toshimitsu; Kusunoki, Masato

doi:10.1007/s00383-018-4310-9

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…The most common indications for surgical revisions were bowel obstruction in 7 (17.5%) infants and stoma prolapse in 6 (15%) infants. Although our results showed that the stoma con guration (end vs. loop) and stoma placement did not signi cantly affect the complication rate (p = 0.999) we agreed with Inoue et al that there is no de nitive recommendation regarding the ideal enterostomy location: at the edge of the primary incision or at a different incision (43).…”

Section: Discussionsupporting

confidence: 85%

Influence of birth weight on surgical outcomes in infants with necrotizing enterocolitis.

Zahradníková

Fědorová

et al. 2022

Preprint

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Background: NEC is a leading cause of mortality and morbidity in extremely low birth weight (ELBW) infants. The primary aim of the study was to evaluate the risk factors for surgical NEC in ELBW infants, and the second goal was to find out post-operative complications, with specific emphasis on stoma related complications. Methods: A retrospective analysis of surgically treated NEC during the 20-year period from 2001-2020 in a single-center was performed. Postoperative complications were classified according to the Clavien-Dindo Classification (CDC). Patients were divided into 2 groups according to birth weight: ELBW (birth weight ≤ 1000 g) and VLBW (very low birth weight ≤ 1500 g). Results: A total of 97 patients meet the pre-determined eligibility criteria and were included in the study. The proportion of male infants in the ELBW was significantly higher than in VLBW group, (odd ratio [OR] = 5.54 [95% CI, 1.68-14.38]; p = 0.003). Lower Apgar score (AS) in the 1 minute in the ELBW group was significantly associated with the NEC progression (p ˂ 0.001). Stoma creation was more often used in the ELBW than in VLBW group (OR = 4.571 [95% CI, 1.186-16.11]; p =0.023). A total of 49 (72%) infants had postsurgical complication, which was significant greater in the ELBW 44/50 (88%) than the VLBW group 5/18 (27.78%) (OR = 19.07 [95% CI, 4.669-77.09]; p˂ 0.0001). In total, 22 out of 40 ELBW infants with enterostomy (55%) had at least one stoma complication. The overall rate of mortality (CDC: V) was 25/68 patients (36.7%). There was nonsignificant difference between the 2 groups regarding the mortality rate (p = 0.406). Conclusions: Our results showed that the risk factors associated with the surgical NEC in ELBW infants include low birth weight, low gestational age, male gender, and low AS in 1 minute. ELBW infants had a higher complication rate and most of them required reoperation. The type of stoma configuration had no impact on the complication rate. Mortality rate was not affected by the birthweight.

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Section: Discussionsupporting

confidence: 85%

Influence of birth weight on surgical outcomes in infants with necrotizing enterocolitis.

Zahradníková

Fědorová

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

Complication rates in very low and extremely low birth weight infants following laparotomy: a prospective study

Hebballi

Nguyen

et al. 2023

Pediatr Surg Int

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A Multi-Institutional Study Comparing Stoma Location in Neonates With Intestinal Perforation

Chen,

Grisotti,

Mack

et al. 2024

Journal of Surgical Research

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Impact of relationship between the stoma site and the primary incision on occurrence of laparotomy wound infection in contaminated or dirty wound operations in neonates

Abstract: Although the enterostomy location did not influence the incidence of laparotomy wound infection in this study, prospective studies are mandatory to fully assess the safety of enterostomy construction at the edge of the primary incision.

Cited by 4 publications

References 13 publications

Influence of birth weight on surgical outcomes in infants with necrotizing enterocolitis.

Influence of birth weight on surgical outcomes in infants with necrotizing enterocolitis.

Complication rates in very low and extremely low birth weight infants following laparotomy: a prospective study

A Multi-Institutional Study Comparing Stoma Location in Neonates With Intestinal Perforation

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