Hand-sewn versus stapled closure of loop ileostomy
Author(s): Dr. Honeypalsinh H Maharaul, Dr. Ketul Shah and Dr. Rutubahen M Patel
Background: Individual trials comparing hand-sewn with stapled closure of loop ileostomy show different outcomes. This study is aimed to compare hand-sewn with stapled anastomotic technique for closure of a loop ileostomy and looked at the effect of bowel resection on the complication rates.
Methodology: All the patients who were admitted to Dhiraj hospital for ileostomy closure were enrolled in our study after taking consent.
Results: Total 10 patient were enrolled in this study. After confirming distal clearance and logogram patients were posted for surgery. 7 patients underwent hand-sewn closure and 3 patients underwent stapled closure. Mean operative time in hand-sewn method was 45 min vs 30 min in stapled method. There was no leakage in both groups. Post operatively 3 patients of hand-sewn group presented with distention and features of obstruction; all of them managed conservatively.
Conclusion: This study shows superiority of stapled closure of loop ileostomy compared to handsewn closure in terms of bowel obstruction rate and mean operation time. Even so, both techniques are options with opposing advantages and disadvantages.