Your browser doesn't support javascript.
loading
New use of an absorbable adhesion barrier (INTERCEED) for temporary diverting ileostomy in minimally invasive rectal surgery
Nagasaki, Toshiya; Akiyoshi, Takashi; Mukai, Toshiki; Hiyoshi, Yukiharu; Yamaguchi, Tomohiro; Fukunaga, Yosuke.
  • Nagasaki, Toshiya; Japanese Foundation for Cancer Research. Cancer Institute Hospital. Gastroenterological Center. Tokyo. JP
  • Akiyoshi, Takashi; Japanese Foundation for Cancer Research. Gastroenterological Center. Cancer Institute Hospital. Tokyo. JP
  • Mukai, Toshiki; Japanese Foundation for Cancer Research. Gastroenterological Center. Cancer Institute Hospital. Tokyo. JP
  • Hiyoshi, Yukiharu; Japanese Foundation for Cancer Research. Gastroenterological Center. Cancer Institute Hospital. Tokyo. JP
  • Yamaguchi, Tomohiro; Japanese Foundation for Cancer Research. Gastroenterological Center. Cancer Institute Hospital. Tokyo. JP
  • Fukunaga, Yosuke; Japanese Foundation for Cancer Research. Gastroenterological Center. Cancer Institute Hospital. Tokyo. JP
J. coloproctol. (Rio J., Impr.) ; 42(2): 152-158, Apr.-June 2022. tab, ilus
Article in English | LILACS | ID: biblio-1394421
ABSTRACT

Objectives:

Sometimes, severe adhesion occurs between the rectus abdominis muscle and the ileal intestinal limbs after temporary diverting ileostomy. This can make ileostomy reversal difficult. The aim of the present study is to assess whether absorbable adhesion barrier made of oxidized regenerated cellulose (INTERCEED) could contribute to improved surgical outcomes in stoma reversal.

Methods:

This was a single-institutional retrospective study. A total of 36 consecutive patients who underwent ileostomy reversal by a single surgeon were retrospectively reviewed. INTERCEED was inserted between the ileal limbs and the rectus abdominis muscle at the time of ileostomy creation in 12 patients. Surgical outcomes of the ileostomy reversal were compared between patients treated with and without INTERCEED.

Results:

The degree of adhesion formation between the ileal limbs and the rectus abdominis muscles, operating time, and estimated blood loss were significantly reduced in patients treated with INTERCEED compared with those treated by the conventional approach. None of the patients in the INTERCEED group had postoperative complications after the initial surgery and ileostomy reversal.

Conclusions:

INTERCEED is suitable for insertion between the ileal limbs and the rectus abdominis muscles because of its softness and flexibility. The use of INTERCEED for diverting ileostomy contributes to reduced adhesion formation, operative time, and blood loss in patients, and further research is needed to confirm our results. (AU)
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Ileostomy / Cellulose, Oxidized / Tissue Adhesions Type of study: Observational study Limits: Adult / Aged / Aged80 / Female / Humans / Male Language: English Journal: J. coloproctol. (Rio J., Impr.) Journal subject: Cirurgia / Doen‡as Retais / Doen‡as do Colo / Gastroenterology / Cirurgia Year: 2022 Type: Article Affiliation country: Japan Institution/Affiliation country: Japanese Foundation for Cancer Research/JP

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Ileostomy / Cellulose, Oxidized / Tissue Adhesions Type of study: Observational study Limits: Adult / Aged / Aged80 / Female / Humans / Male Language: English Journal: J. coloproctol. (Rio J., Impr.) Journal subject: Cirurgia / Doen‡as Retais / Doen‡as do Colo / Gastroenterology / Cirurgia Year: 2022 Type: Article Affiliation country: Japan Institution/Affiliation country: Japanese Foundation for Cancer Research/JP