Application of the needle-thread retained stitch in enterostomy

Abstract

Purpose intestinal stoma may be performed using various techniques.Each technology has its own unique characteristics.In this report,we report the application of the needle-thread retained stitch in enterostomy. Methods A prospective cohort study,126 patients who were divided into two groups randomly to perform enterostomy with the needle-thread retained stitch and the traditional intermittent stitch respectively.The enterostomy operation and preoperative general clinical data were recorded,and postoperative complications were observed. Results enterostomys were performed successfully in 126 patients,68 patients performed the needle-thread retained stitch and 58 patients performed the traditional intermittent stitch).The median enterostomy operative time to create the stoma was 19 min(range,15～26 min)(the needle-thread retained stitch),22 min(range, 17～32 min)(the traditional intermittent stitch).The median blood loss was 1 ml(range,1～10 ml)(the needle-thread retained stitch),2 ml(range, 1～15 ml)(the traditional intermittent stitch).Complications related to stoma occurred in 3 cases (4.41%) in the former, while 5 cases (8.62%) in the latter.Univariate analysis show that the complications related to stoma were correlate with age，BMI, preoperative intestinal obstruction, preoperative leukocyte level, hemoglobin level, plasma albumin level, intestinal edema, postoperative dysuria and pulmonary infection (p＜0.05).Multivariate logistic regression analysis show that BMI, preoperative hemoglobin, intestinal edema, postoperative dysuria and pulmonary infection were independent risk factors for enterostomy related complications. Conclusion The needle-thread retained stitch apply to enterostomy is feasible, safety and reliable, which reduces the incidence of intraoperative complication and postoperative ostomy related complication.It has the value of clinical application and popularization.