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Ileostomy revision using noncutting linear stapler
M-L Skaerlund1, L Jacobsen, A Tøttrup
1Department of Surgery P, Aarhus University Hospital, Tage Hansensgade, Aarhus C, Denmark.
Objective:
The study aimed to evaluate the outcome of ileostomy revision for retraction and prolapse using noncutting linear stapler.
Method:
Forty five patients undergoing a total of 94 stapled revisions between 1.1.1995 and 31.12.2005 were identified by the unique code for stomal revision. Medical records for all patients were examined.
Results:
Thirty-five (77.8%) of the 45 patients were women. In 43 (95.6%), the indication was stomal retraction. Median follow-up was 28 months (2-122). One or more stapling procedures resulted in a normal stoma at follow-up in 18 (41.9%) of 43 patients treated for stomal retraction. When other types of repair were included, a normal stoma was achieved in 30 (69.8%) of 43 patients. Patients with a low BMI had the lowest success rate (44%), but none of the possible factors analysed for influence on success had a statistically significant impact. Two patients were treated for prolapse, and both needed other types of revision.
Conclusions:
Stapled ileostomy revision is easy to perform and has a low morbidity. Less than half the patients achieve a satisfactory long-term result after one or more stapling procedures. Many patients still benefit from other types of revision when stapling has failed.
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