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16944

Early Versus Delayed Reversal of Covering Stoma after Low Anterior Resection for Colorectal Carcinoma

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Last updated: 24 Dec 2024

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Abstract

Background: A defunctioning stoma is used primarily to protect the anastomosis and prevent pelvic sepsis after bowel surgery.
Aim of the work: This study was aimed to compare early stoma closure with conventional stoma closure following defunctioning diversion stoma surgery with respect to the frequency of complications, health‐related quality of life (QOL), and length of hospitalization (LOH).
Patients and Methods: This study was designed as a prospective parallel‐arm randomized controlled trial. 40 patients who underwent temporary stoma following colorectal cancer surgery were enrolled in this study. The rate of complications (medical and surgical) following early (20 patients) and conventional (20 patients) stoma closure was assessed. Health‐related QOL and LOH were also measured.
Results: Forty patients were included, with 20 cases in each group. Postoperative complications including wound dehiscence (15% vs. 15%; P = 1.00), wound infection (40% vs. 5%; P = 0.023), intra‐abdominal collection (15% vs. 30%; P = 0.449), anastomotic leak (15%vs. 30%; P = 0.449) were comparable. The length of hospital stays and overall mortality and morbidity were similar across the two groups. There was a significant reduction in the cost towards stoma care in the early stoma closure group. Furthermore, Patients in the early stoma closure group also had a significantly better QOL. Conclusion: Early stoma closure does not carry an increased risk of postoperative complications, reduces cost towards stoma care, and leads to better a QOL.
 

DOI

10.21608/ejhm.2018.16944

Keywords

Colorectal carcinoma, Stoma, Early closure, Delayed closure

Authors

First Name

Taha Mohamed

Last Name

Fayed

MiddleName

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Affiliation

Surgical Oncology Unit, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

tahafayed40@gmail.com

City

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Orcid

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First Name

Ayman Mohammed

Last Name

AbdulMohaymen

MiddleName

-

Affiliation

Surgical Oncology Unit, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Eid Rizk

Last Name

El Gammal

MiddleName

-

Affiliation

Surgical Oncology Unit, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Email

-

City

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Orcid

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Volume

73

Article Issue

6

Related Issue

3486

Issue Date

2018-10-01

Receive Date

2018-10-19

Publish Date

2018-10-01

Page Start

6,915

Page End

6,920

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 73_Issue 6_Pages 6915-6920.pdf

PDF . 535.7kB

Link

https://ejhm.journals.ekb.eg/article_16944.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=16944

Order

19

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Early Versus Delayed Reversal of Covering Stoma after Low Anterior Resection for Colorectal Carcinoma

Details

Type

Article

Created At

22 Jan 2023