Morbilidad y mortalidad de la ileostomía derivativa temporal en la cirugía por cáncer de recto

Domínguez, Lucinda Pérez; Martínez, Miguel Á.; Alvarado, Nieves Cáceres; Novella, Ángeles Toscano; Grosso, Antonio Pedro Higuero; Núñez, José Enrique Casal

doi:10.1016/j.ciresp.2013.12.011

Cited by 11 publications

(3 citation statements)

References 25 publications

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“…Our previous observations found the primary endpoint incidence in our population to be 33%, which was consistent with the data available in the literature [8,9]. Additionally, a previous pilot study demonstrated that NPWT had decreased the incidence of WHC by 70-85% [17].…”

Section: Sample Size Calculationsupporting

confidence: 92%

“…One way to reduce the risk of leak is to use a diverting ileostomy [6,7]. Although this is currently considered a standard treatment, especially in the group of patients undergoing neoadjuvant radiotherapy or chemoradiotherapy, the technique still has its drawbacks, such as the necessity to perform an additional surgical operation for ileostomy closure, which has a high risk of wound healing complications, particularly surgical site infections (SSI) [8,9]. To reduce the frequency of these complications, novel guidelines published in 2017 recommend using the purse-string suture technique [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Prophylactic negative-pressure wound therapy after ileostomy reversal for the prevention of wound healing complications in colorectal cancer patients: a randomized controlled trial

et al. 2020

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Background The aim of this study was to assess the usefulness of protective negative-pressure wound therapy (NPWT) in the reduction of wound healing complications (WHC) and surgical site infections (SSI) after diverting ileostomy closure in patients who underwent surgery for colorectal cancer. Methods In this prospective randomized clinical trial in a tertiary academic surgical center, patients who had colorectal cancer surgery with protective loop ileostomy and were scheduled to undergo ileostomy closure with primary wound closure from January 2016 to December 2018 were randomized to be treated with or without NPWT. The primary endpoint was the incidence of WHC. Secondary endpoints were incidence of SSI, length of postoperative hospital stay (LOS), and length of complete wound healing (CWH) time. Results We enrolled 35 patients NPWT (24 males [68.6%]; mean age 61.6 ± 11.3 years), with NPWT and 36 patients (20 males [55.6%]; mean age 62.4 ± 11.3 years) with only primary wound closure (control group). WHC was observed in 11 patients (30.6%) in the control group and 3 (8.57%) in the NPWT group (p = 0.020). Patients in the NPWT group had a significantly lower incidence of SSI (2 [5.71%] vs. 8 [22.2%] in the control group; p = 0.046) as well as significantly shorter median CWH (7 [7–7] days vs. 7 [7–15.5] days, p = 0.030). There was no difference in median LOS between groups (3 [2.5–5] days in the control group vs. 4 [2–4] days in the NPWT group; p = 0.072). Conclusions Prophylactic postoperative NPWT after diverting ileostomy closure in colorectal cancer patients reduces the incidence of WRC and SSI. Clinical trial registration clinicaltrials.gov (NCT04088162).

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Section: Sample Size Calculationsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Prophylactic negative-pressure wound therapy after ileostomy reversal for the prevention of wound healing complications in colorectal cancer patients: a randomized controlled trial

et al. 2020

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“…), sus intereses y las consecuencias derivadas de dicha decisión, que son tan diversas y de tal magnitud (alteraciones hidroelectrolíticas, infección de la herida, eventración, etc.) que en la fase actual del estudio cualquier punto de corte no debe interpretarse de forma aislada ni determinante 10,11 . El REAL-score se considera una herramienta que ayuda en la toma de decisiones, pero que debe integrarse con la experiencia profesional y el conocimiento previo.…”

Section: Discussionunclassified

Aplicación del índice pronóstico REAL-score en la toma de decisiones en cirugía del cáncer de recto

Aparicio-López,

Gascón-Ferrer,

Martínez-Germán

et al. 2023

CIRU

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Antecedentes: La dehiscencia de la anastomosis colorrectal (DA) es la complicación más temida de la cirugía del cáncer de recto (1-19%), pues incrementa la morbimortalidad y empeora los resultados oncológicos en términos de recidiva local y supervivencia. La publicación del índice REAL-score permite predecir el riesgo de DA y comparar los resultados esperados con los obtenidos. Método: Estudio observacional, descriptivo, longitudinal y retrospectivo, de

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Pattern of Lower Intestinal Ostomies in a Low‐Income Country: Case of Southeast of Niger Republic

Adamou

Habou²,

Magagi

et al. 2017

World j. surg.

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Morbilidad y mortalidad de la ileostomía derivativa temporal en la cirugía por cáncer de recto

Cited by 11 publications

References 25 publications

Prophylactic negative-pressure wound therapy after ileostomy reversal for the prevention of wound healing complications in colorectal cancer patients: a randomized controlled trial

Prophylactic negative-pressure wound therapy after ileostomy reversal for the prevention of wound healing complications in colorectal cancer patients: a randomized controlled trial

Aplicación del índice pronóstico REAL-score en la toma de decisiones en cirugía del cáncer de recto

Pattern of Lower Intestinal Ostomies in a Low‐Income Country: Case of Southeast of Niger Republic

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