Risk factors for prolongation of ileostomy closure operation

Area of Science:

• Surgical Outcomes
• Gastrointestinal Surgery

Background:

• Prolonged operative time in surgery can lead to increased complications and costs.
• Identifying factors influencing operative time for ileostomy closure is crucial for optimizing surgical procedures.

Purpose of the Study:

• To identify factors associated with prolonged operative time during ileostomy closure.
• To analyze risk factors contributing to extended duration of ileostomy reversal surgeries.

Main Methods:

• Retrospective analysis of 88 patients undergoing ileostomy reversal.
• Definition of prolonged operative time as >65 minutes.
• Application of Chi-square and logistic regression analyses to identify risk factors.

Main Results:

• Overweight (Body Mass Index ≥25 kg/m2), previous abdominal surgery, and manual suture technique were significantly associated with prolonged operative time.
• These factors independently increased the risk of extended operative duration for ileostomy closure.
• A history of serious complications post-primary operation was linked to shorter operative times.

Conclusions:

• Overweight status, a history of abdominal surgery, and the use of manual sutures are significant risk factors for prolonged ileostomy closure operative time.
• These findings can inform surgical planning and technique selection to improve efficiency.
• Understanding these predictors aids in managing patient expectations and resource allocation.