The Loop Stoma Bridge—A New Technique

Harish, K

doi:10.1007/s11605-007-0413-7

Cited by 15 publications

(8 citation statements)

References 11 publications

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“…Thirteen studies were excluded because they did not include the complications when comparing LI with LC after LARRC. [17][18][19][20][21][22][23][24][25][26][27][28][29] A further four studies were excluded because relevant data could not be extracted or calculated from them; these studies had included surgery for different diseases (eg neoplasms, Crohn's disease, diverticulitis) and operation times for defunctioning stomas (eg emergency surgery, elective surgery). [30][31][32][33] One article was merely an abstract and reported outcomes on defunctioning stomas after LARRC.…”

Section: Resultsmentioning

confidence: 99%

Meta-analysis of elective surgical complications related to defunctioning loop ileostomy compared with loop colostomy after low anterior resection for rectal carcinoma

Geng

Nasier

Liu

et al. 2015

annals

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Introduction Defunctioning loop ileostomy (LI) and loop colostomy (LC) are used widely to protect/treat anastomotic leakage after colorectal surgery. However, it is not known which surgical approach has a lower prevalence of surgical complications after low anterior resection for rectal carcinoma (LARRC). Methods We conducted a literature search of PubMed, MEDLINE, Ovid, Embase and Cochrane databases to identify studies published between 1966 and 2013 focusing on elective surgical complications related to defunctioning LI and LC undertaken to protect a distal rectal anastomosis after LARRC. Results Five studies (two randomized controlled trials, one prospective non-randomized trial, and two retrospective trials) satisfied the inclusion criteria. Outcomes of 1,025 patients (652 LI and 373 LC) were analyzed. After the construction of a LI or LC, there was a significantly lower prevalence of sepsis (p=0.04), prolapse (p=0.03), and parastomal hernia (p=0.02) in LI patients than in LC patients. Also, the prevalence of overall complications was significantly lower in those who received LIs compared with those who received LCs (p<0.0001). After closure of defunctioning loops, there were significantly fewer wound infections (p=0.006) and incisional hernias (p=0.007) in LI patients than in LC patients, but there was no significant difference between the two groups in terms of overall complications. Conclusions The results of this meta-analysis show that a defunctioning LI may be superior to LC with respect to a lower prevalence of surgical complications after LARRC.

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Section: Resultsmentioning

confidence: 99%

Meta-analysis of elective surgical complications related to defunctioning loop ileostomy compared with loop colostomy after low anterior resection for rectal carcinoma

Geng

Nasier

Liu

et al. 2015

annals

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show abstract

“…although there are no randomized trials comparing rigid with flexible ostomy rods, there have been several small observational studies documenting the favorable characteristics of various flexible alternatives, such as a red rubber catheter. [57][58][59] flexible supporting rods may permit easier fitting and changing of the ostomy appliance relative to rigid rods. there may be a role for rigid rods when there is significant tension on the ostomy, but this is controversial.…”

Section: Ostomy Creationmentioning

confidence: 99%

Clinical Practice Guidelines for Ostomy Surgery

Hendren

Hammond

Glasgow

et al. 2015

Diseases of the Colon &Amp; Rectum

139

166

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“…Using a subcutaneously tunnelled suction drain as a stoma bridge was first described in 2008 by Harish [13]. As the two main advantages of this technique, he considered the quick availability of suction drains in operating theatre and the ease of stoma care device application.…”

Section: Discussionmentioning

confidence: 99%

“…However, the use of rigid plastic rods is not without complications, mainly because the rod lies on the skin surface for one or two weeks after surgery, which can lead to skin maceration and local infection. Dissatisfaction with plastic rods is highly prevalent as evidenced by the large number of alternative techniques that were proposed in more recent years [9][10][11][12][13][14][15][16]. In most of these articles, the bridge which supported the stoma limbs was reinforced with a softer material, such as a Jackson-Pratt drain, a suction drain tube, or a Penrose drain.…”

Section: Introductionmentioning

confidence: 99%

Loop Ileostomy and Colostomy—A Comparison between Supporting Plastic Rods and Epicutaneous or Subcutaneous Silicon Drains

Langenbach¹,

Sauerland²,

Issa³

et al. 2011

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Purpose: Beside the conventional plastic rods, different techniques and materials have been proposed in the last years to prevent the loop from retraction into the abdominal cavity. The aim of this retrospective comparative study was to assess three different techniques of loop support. Methods: The study included 65 patients who had loop ileostomy or colostomy formed. Depending on the decision of the operating surgeon, one of three techniques was chosen to fixate the stoma loop: an epicutaneous plastic rod (group 1, n = 14), an epicutaneous suture-fixated silicone drain (group 2, n = 27), or a subcutaneous silicone drain (group 3, n = 24). Results: The majority of patients (85%) received loop ileostomy. Pain intensity was significantly (p = 0.0014) different among the three groups. A total of 19 patients (30%) suffered a complication. There was a tendency towards less complications if the stoma was secured by a silicone drain with epicutaneous fixation. Comfort with stoma care was significantly different, with group 3 experiencing the best results. Conclusions: Using a subcutaneously tunnelled silicon drain as a stoma bridge results in less complications, less pain and higher satisfaction as compared to the conventional plastic rod. Conventional plastic rods should be avoided.

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The Loop Stoma Bridge—A New Technique

Abstract: The method described is safe, cheap, and easily performed by junior surgical resident with low morbidity. The colostomy flange can be applied immediately without leakage.

Cited by 15 publications

References 11 publications

Meta-analysis of elective surgical complications related to defunctioning loop ileostomy compared with loop colostomy after low anterior resection for rectal carcinoma

Meta-analysis of elective surgical complications related to defunctioning loop ileostomy compared with loop colostomy after low anterior resection for rectal carcinoma

Clinical Practice Guidelines for Ostomy Surgery

Loop Ileostomy and Colostomy—A Comparison between Supporting Plastic Rods and Epicutaneous or Subcutaneous Silicon Drains

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