Effects of minimizing access trauma in laparoscopic colectomy in patients with IBD

Seifarth, Claudia; Ritz, J.‐P.; Kroesen, A. J.; Buhr, H. J.; Groene, Joern

doi:10.1007/s00464-014-3817-y

Cited by 8 publications

(5 citation statements)

References 23 publications

(31 reference statements)

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“…The place of STC with ileostomy formation for acute severe colitis, which does not respond to medical therapy, is well established . In the last decade a trend towards minimally invasive surgery has been observed and this enthusiasm extends into the field of inflammatory bowel disease . We present herein a large cohort study from a single tertiary centre, analysing the approaches and outcomes of STC for UC over 8 years.…”

Section: Discussionmentioning

confidence: 99%

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Subtotal colectomy for ulcerative colitis: lessons learned from a tertiary centre

et al. 2017

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Section: Discussionmentioning

confidence: 99%

“…Minimally invasive surgery is well established in colorectal surgery, including surgery for inflammatory bowel disease . The feasibility and safety of laparoscopic STC for UC have been recognized in several studies .…”

Section: Introductionmentioning

confidence: 99%

Subtotal colectomy for ulcerative colitis: lessons learned from a tertiary centre

et al. 2017

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“…Specifically, the risk of postoperative infection can be reduced in patients with IBD who frequently use immunosuppressants. For patients who require a prophylactic ostomy, the diseased bowel may be delivered through an incision at the ostomy without the need for an additional auxiliary incision[ 11 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive surgery for glycogen storage disease combined with inflammatory bowel disease: A case report

Wan¹,

Zhang²,

Yang³

et al. 2021

WJCC

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BACKGROUND Inflammatory bowel disease (IBD) is rare in patients with glycogen storage disease (GSD). In GSD patients, a decrease in the number of neutrophils leads to prolonged intestinal infection, leading to the formation of chronic inflammation and eventually the development of IBD. Minimally invasive surgery for patients with IBD has been proven to reduce inflammatory responses and postoperative risks and ultimately promote rapid recovery. Herein we discuss minimally invasive surgery and the perioperative management in a patient with GSD and IBD. CASE SUMMARY A 23-year-old male had GSD Ib associated with IBD-like disease for 10 years. Despite standard treatments, such as mesalazine, prednisone and adalimumab, the patient eventually developed colonic stenosis with incomplete ileus. After adequate assessment, the patient was treated with minimally invasive surgery and discharged in stable condition. CONCLUSION Minimally invasive surgery for patients with IBD and GSD is safe, feasible and effective.

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“…In the RECIPE trial (Reduction of Postoperative Wound Infections by Antiseptica), which was conducted at the department for general, visceral, and vascular surgery of the Charité-Campus Benjamin Franklin, we showed a reduction in SSI in elective laparotomies by intraoperative subcutaneous wound irrigation with polyhexanide solution compared to wound irrigation with saline [16]. In IBD patients, laparoscopic procedures offer a potential advantage, especially for frequently immunosuppressed patients, to reduce SSIs [17]. Other studies have shown the influence of avoiding razors for hair removal, decolonization, maintaining normothermia, and perioperative glycemic control [18].…”

Section: Introductionmentioning

confidence: 94%

Impact of Coronavirus Disease 2019 (COVID-19) Pandemic on Surgical Site Infection in Patients with Inflammatory Bowel Disease—A Monocentric, Retrospective Cohort Study

Strobel,

Baehr,

Hammerich

et al. 2024

JCM

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(1) Background: Surgical site infections (SSIs) are a relevant problem with a 25% incidence rate after elective laparotomy due to inflammatory bowel disease (IBD). The aim of this study was to evaluate whether stricter hygienic measures during the COVID-19 pandemic influenced the rate of SSI. (2) Methods: This is a monocentric, retrospective cohort study comparing the rate of SSI in patients with bowel resection due to IBD during COVID-19 (1 March 2020–15 December 2021) to a cohort pre-COVID-19 (1 February 2015–25 May 2018). (3) Results: The rate of SSI in IBD patients with bowel resection was 25.8% during the COVID-19 pandemic compared to 31.8% pre-COVID-19 (OR 0.94; 95% CI 0.40–2.20; p = 0.881). There were seventeen (17.5%) superficial and four (4.1%) deep incisional and organ/space SSIs, respectively, during the COVID-19 pandemic (p = 0.216). There were more postoperative intra-abdominal abscesses during COVID-19 (7.2% vs. 0.9%; p = 0.021). The strictness of hygienic measures (mild, medium, strict) had no influence on the rate of SSI (p = 0.553). (4) Conclusions: Hygienic regulations in hospitals during COVID-19 did not significantly reduce the rate of SSI in patients with bowel resection due to IBD. A ban on surgery, whereby only emergency surgery was allowed, was likely to delay surgery and exacerbate the disease, which probably contributed to more SSIs and postoperative complications.

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Effects of minimizing access trauma in laparoscopic colectomy in patients with IBD

Cited by 8 publications

References 23 publications

Subtotal colectomy for ulcerative colitis: lessons learned from a tertiary centre

Subtotal colectomy for ulcerative colitis: lessons learned from a tertiary centre

Minimally invasive surgery for glycogen storage disease combined with inflammatory bowel disease: A case report

Impact of Coronavirus Disease 2019 (COVID-19) Pandemic on Surgical Site Infection in Patients with Inflammatory Bowel Disease—A Monocentric, Retrospective Cohort Study

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